IndividualActive
Kelly Dahlstrom, D.O.
NPI 1134533417 · Neuroradiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1134533417
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11262272-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-2140
Phone: (801) 581-7553
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-2140
Additional practice locations (1)
- 1500 S Main StFort Worth, TX 76104-4917Phone: (817) 702-1255
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.