Kristen Wikholm Kieley, MD
Kristen Wikholm Kieley, MD is a Diagnostic Radiology in San Luis Obispo, California. Qualified in 2008, 18 years ago. Practices with San Luis Imaging Medical Group Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.
- Years since qualifying
- 18
- Licensed in
- CA, MN
- In the registry since
- 2009
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1100 Monterey St Ste 200San Luis Obispo, CA 93401-3102
Phone: (805) 542-9700
Fax: (805) 542-0584
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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 A130814 (CA) |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X · Licence 25161 (MN) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 25161 (MN) |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence 25161 (MN) |
Record details
| NPI number | 1780810606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2009 |
| Last updated in NPPES | November 11, 2014 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | San Luis Imaging Medical Group Inc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in San Luis Obispo
-
Adventist Health Physicians Network
77 Casa St Ste 102, San Luis Obispo, CA 93405-5804 · (805) 546-7733