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KELLY DAHLSTROM D.O. NPI 1134533417


NPI Information

NPI: 1134533417
Provider Name: KELLY DAHLSTROM, D.O.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
30 N 1900 E RM 1A071
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-7553
Get Directions

Kelly Dahlstrom, D.O. is a neuroradiology radiology in Salt Lake City, UT with 10 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Kelly Dahlstrom, D.O. NPI is 1134533417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2014

The provider's business location address is:

30 N 1900 E RM 1A071
SALT LAKE CITY, UT
ZIP 84132-140
Phone: (801) 581-7553

The NPI 1134533417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 5/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology11262272-1204UTAHYes
22085R0202XRadiologyDiagnostic Radiology11262272-1204UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.