Kristen Wikholm Kieley M.D.

NPI 1780810606 - Radiology - 2085B0100X

NPI Details
NPI 1780810606
Gender Female
Enumeration Date 06/05/2009
Last Updated 11/11/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1100 MONTEREY ST STE 200
SAN LUIS OBISPO CA, 93401-3102, US
Phone (805) 542-9700
Fax (805) 542-0584
Business Location
590 LA TAPADERA LN
NIPOMO CA, 93444-9479, US
Phone (805) 260-6785
Fax
Toxanomy
Taxonomy Code 2085B0100X
License State Minnesota
License Number 25161
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According to our database, Kristen Wikholm Kieley M.D. NPI is 1780810606, taxonomy code is 2085B0100X and license number is 25161, license state is located at Minnesota. Kristen Wikholm Kieley M.D. physically located at 1100 Monterey St Ste 200, San Luis Obispo CA, 93401-3102. NPI Number Kristen Wikholm Kieley M.D. has the Individual type.

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1780810606 NPI number is provided on an as is basis without warranty of any kind. 1780810606 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Wikholm Kieley M.D. are for informational purposes only.