Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Dahlstrom, DO

Individual provider Diagnostic Radiology Physician · NPI 1134533417

Kelly Dahlstrom, DO is a Diagnostic Radiology in Salt Lake City, Utah. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2014, 12 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

30 N 1900 E Rm 1A071
Salt Lake City, UT 84132-2140
Phone: (801) 581-7553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Main St, Fort Worth, TX 76104-4917 — (817) 702-1255

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 11262272-1204 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11262272-1204 (UT)

Record details

NPI number1134533417
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 16, 2014
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020
Mailing address30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-2140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2014 (12 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

Other providers in Salt Lake City