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NPI Profile for KELLY DAHLSTROM in SALT LAKE CITY, UT.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neuroradiology |
2085N0700X | |||
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology |
| NPI # | 1134533417 |
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| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 06/16/2014 | |
| Last updated | 05/05/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLY DAHLSTROM
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KELLY DAHLSTROM, DO