IndividualActive
Kelly Kadolph, D.C.
NPI 1639114366 · Sports Physician Chiropractor · Bethany, MO
Provider details
- NPI number
- 1639114366
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005205 (MO)
Specialties & taxonomies
Chiropractic Providers
Practice location
3307 Miller St
Bethany, MO 64424-2716
Phone: (660) 425-3312
Fax: (660) 425-3438
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 527
Bethany, MO 64424-0527
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2014-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.