Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JAY KADOLPH, D.C.
Active Sole ProprietorDR. KELLY JAY KADOLPH, D.C. is a Sports Physician (Chiropractor) healthcare provider located in BETHANY, Missouri. NPI 1639114366 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · BETHANY, MO
Registration Details
- NPI Number
- 1639114366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (19.977478144832 yrs)
- Last Updated
- Jan 16, 2014
- License
-
005205 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3307 MILLER STBETHANY, MO, 644242716Browse MO providers · Browse ZIP 64424
- Phone
- 6604253312
- Fax
- 6604253438
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.