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

Kelly Kieper

Individual provider Diagnostic Radiology Physician · NPI 1083888390

Kelly Kieper is a Diagnostic Radiology in Albuquerque, New Mexico. Graduated from Loma Linda University School of Medicine in 2008, 18 years ago. Practices with St Lukes Community Hospital, a 61-clinician group and accepts Medicare assignment. Licensed in New Mexico and Utah.

Years since qualifying
18
Trained at
Loma Linda University School of Medicine
Licensed in
NM, UT
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-3120
Fax: (505) 272-5821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD2014-0628 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 7469971-1205 (UT)

Record details

NPI number1083888390
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2008
Last updated in NPPESMarch 22, 2017

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice St Lukes Community Hospital — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Albuquerque