Individual provider · Type 1 NPI

Kelly Jay Kadolph, DC

Sports Physician Chiropractor · Bethany, MO

NPI number 1639114366 Active

Practice location

3307 Miller St
Bethany, MO 64424-2716

Fax (660) 425-3438

Mailing address

PO Box 527
Bethany, MO 64424-0527

Specialties and licenses

TaxonomyCodeLicense
Sports Physician Chiropractor Primary 111NS0005X005205 (MO)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

About NPI 1639114366

Kelly Jay Kadolph, DC's National Provider Identifier is 1639114366, issued on Jun 17, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Bethany, MO. The record was last updated on Jan 16, 2014.