Healthcare Provider Details

I. General information

NPI: 1215445044
Provider Name (Legal Business Name): KAI WELLNESS INTEGRATIVE MEDICINE AND HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2018
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 AVENIDA ALDEA
SANTA FE NM
87507-9449
US

IV. Provider business mailing address

66 AVENIDA ALDEA
SANTA FE NM
87507-9449
US

V. Phone/Fax

Practice location:
  • Phone: 424-234-8024
  • Fax:
Mailing address:
  • Phone: 424-234-8024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number17182
License Number StateCA

VIII. Authorized Official

Name: DR. KARINA MENALI
Title or Position: OWNER
Credential: L.AC., DACM, DIPL.OM
Phone: 424-234-8024