| Doctor Name: | KRISTEN WIKHOLM KIELEY |
| NPI Number: | 1780810606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25161 |
| Business Practice Address: | 1100 Monterey St Ste 200 San Luis Obispo, CA - 934013102 |
| Business Phone Number: | 8055429700 |
| Business Fax Number: | 8055420584 |
| Mailing Address: | 590 La Tapadera Ln, NIPOMO |
| State: | CA |
| Postal Code: | 934449479 |
| Phone Number: | 8052606785 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 11/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 25161 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |