KADOLPH CHIROPRACTIC CLINIC PC (NPI# 1962659748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962659748 |
| Entity Type | Organization |
| Organization Name | KADOLPH CHIROPRACTIC CLINIC PC |
| Practice Address |
1704 Main St. Bethany MO 64424-2064 |
| Mailing Address |
1704 Main St Bethany MO 64424-2064 |
| Practice Telephone | 6604253312 |
| Mailing Telephone | 6604253312 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | DR. KELLY J. KADOLPH (PRESIDENT) |
| Authorized Official Telephone | 6604253312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12301736 | MO | Chiropractic Providers |
| Street Address |
1704 MAIN ST. |
| City | BETHANY |
| State | MO |
| Zip Code | 64424-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376739946 | Cynthia Sue Butler | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2007-09-18 |
| 1891906848 | Sudarsan Chavala | Ophthalmology | 1303 N 25th, Bethany, MO 64424 | 2007-05-24 |
| 1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
| 1558397661 | N & R of Crestview LLC | Skilled Nursing Facility | 1313 South 25th Street, Bethany, MO 64424 | 2006-06-23 |
| 1639147507 | Jayne E. Doolittle | Nurse Practitioner | 2703 Miller St., Bethany, MO 64424 | 2006-03-08 |
| 1205436946 | Douglas Faulkner | Pharmacist | 810 S 37th St, Bethany, MO 64424 | 2020-10-30 |
| 1184088593 | Patricia Slaughter | Social Worker | 2600 Miller St, Bethany, MO 64424 | 2016-04-12 |
| 1912235706 | Bethany Counseling Center LLC | Social Worker | 4118 Miller St, Bethany, MO 64424 | 2009-12-07 |
| 1568430437 | Gregory A Dean | Family Medicine | 2703 Miller St, Bethany, MO 64424 | 2006-03-08 |
| 1508834409 | Terry E. Hall | General Practice | 2703 Miller St., Bethany, MO 64424-0233 | 2006-03-08 |
| Find all providers in zip 64424 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497977813 | Joyce Chiropractic, Inc | Chiropractor | 3820 N Rockwell, Bethany, OK 73008-3379 | 2007-05-03 |
| 1205968716 | Sylvie Roy Davis | Chiropractor | 113 Litchfield Tpke, Bethany, CT 06524-3540 | 2007-03-10 |
| 1740378058 | Brian L. Predmore | Chiropractor | 7006 Nw 36th St, Suite B, Bethany, OK 73008-3317 | 2006-10-11 |
| 1992725386 | Thomas D Joyce | Chiropractor | 3820 N Rockwell Ave, Bethany, OK 73008-3379 | 2006-07-20 |
| 1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
| 1790720423 | Jerry E. Kadolph | Chiropractor | 1704 Main St, Bethany, MO 64424-2064 | 2006-06-17 |
| 1275596025 | Brent D Siemens | Chiropractor | 6824 Nw 23rd St, Bethany, OK 73008 | 2006-04-11 |
| 1609178185 | Guernsey Chiropractic and Sports Injury Center LLC | Chiropractor | 1704 Main St, Bethany, MO 64424-2064 | 2010-12-03 |
| 1477872182 | Caleb Guernsey | Chiropractor | 1704 Main St, Bethany, MO 64424-2064 | 2010-05-19 |
| 1346310737 | Brian L. Predmore, D.c., P.C. | Chiropractor | 7006 Nw 36th St, Suite B, Bethany, OK 73008-3317 | 2006-11-09 |
| Find all providers in BETHANY | ||||
Please comment or provide details below to improve the information on KADOLPH CHIROPRACTIC CLINIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.