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:
Health care specialties
Specialty | Code | License # | 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 10 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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