Kristen Wilkholm Kieley (NPI# 1780810606, PAC ID# 7618105479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780810606 |
| PAC ID by PECOS | 7618105479 |
| Professional Enrollment ID | I20140124001267 |
| Full Name | Kristen Wilkholm Kieley |
| Organization Legal Name | SAN LUIS IMAGING MEDICAL GROUP, INC |
| Address |
1100 Monterey St Suite 200 San Luis Obispo CA 93401-3102 |
| Phone Number | 8055429700 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2860618766 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Monterey St, Suite 200, San Luis Obispo, CA 93401-3102 | 8055429700 | SAN LUIS IMAGING MEDICAL GROUP, INC |
| 1100 Monterey St, San Luis Obispo, CA 93401-3102 | 8055429700 | SAN LUIS IMAGING MEDICAL GROUP, INC |
| 1325 E Church St, Santa Maria, CA 93454-5909 | 8052194673 | DIAGNOSTIC IMAGING MEDICAL GROUP |
| 1400 E Church St, Santa Maria, CA 93454-5906 | 8057393400 | DIAGNOSTIC IMAGING MEDICAL GROUP |
| 1400 E Church St, Marian Medical Center Catholic Heal, Santa Maria, CA 93454-5906 | 8057393400 | DIAGNOSTIC IMAGING MEDICAL GROUP |
| Organization Legal Name | SAN LUIS IMAGING MEDICAL GROUP, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred S Vernacchia | Diagnostic Radiology | San Luis Imaging Medical Group, Inc | 1100 Monterey St, Suite 200, San Luis Obispo, CA 93401-3102 |
| Lisa Marie Wieler | Diagnostic Radiology | San Luis Imaging Medical Group, Inc | 1100 Monterey St, Suite 200, San Luis Obispo, CA 93401-3102 |
| Street Address |
1100 MONTEREY ST SUITE 200 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-3102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred S Vernacchia | Diagnostic Radiology | San Luis Imaging Medical Group, Inc | 1100 Monterey St, Suite 200, San Luis Obispo, CA 93401-3102 |
| Lisa Marie Wieler | Diagnostic Radiology | San Luis Imaging Medical Group, Inc | 1100 Monterey St, Suite 200, San Luis Obispo, CA 93401-3102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAN LUIS OBISPO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kristen Wilkholm Kieley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.