Kieley, Kristen Wikholm

Kieley, Kristen Wikholm is an sole proprietor health care provider with primary practice located at 1100 Monterey St Ste 200 , San Luis Obispo CA 93401-3102. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kieley, Kristen Wikholm can be contacted via phone (805) 542-9700.

Contact Information

Primary practice address
1100 Monterey St Ste 200 San Luis Obispo CA 93401-3102
Phone: (805) 542-9700
Fax: (805) 542-0584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 25161 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25161 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 25161 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A130814 California

Profile Details

NPI number 1780810606
LBN Legal business name Kieley, Kristen Wikholm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2009
Last updated Nov 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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