Dr. Kelly Jay Kadolph
D.C. | Sports Physician Chiropractor | 40+ years Exp
3307 Miller St, Bethany
Missouri, 64424-2716
660-425-3312 660-425-3438
Maps & Directions is a Bethany, Missouri based chiropractor with
40 years of experience in
Sports Physician Chiropractic. He completed his graduation from
Cleveland Chiropractic College - Kansas City in 1985. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kelly Jay Kadolph as Sports Physician Chiropractic is
005205 in Missouri.
Dr. Kelly Jay Kadolph 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 in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Complete Profile:
Dr. Kelly Jay Kadolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Sports Physician Chiropractic |
| Credentials: | D.C. |
| Experience: | 40+ years |
| Medical School Attended: | Cleveland Chiropractic College - Kansas City |
| Graduation Year: | 1985 |
| Gender: | Male |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 3307 Miller St, Bethany,
Missouri, 64424-2716 |
| Phone: | 660-425-3312 |
| Fax: | 660-425-3438 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9234290891 |
| Enrollment ID: | I20081202000248 |
| NPI Number: | 1639114366 |
| NPI Enumeration Date: | 17 Jun, 2006 |
| NPI Last Update On: | 16 Jan, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Jay Kadolph are as mentioned below.
| License Number | Specialization | State | Status | |
| 005205 | Sports Physician Chiropractor | Missouri | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kelly Jay Kadolph is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Jenny L Wiemann Dc Pc (3577506971) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kelly Jay Kadolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20768013 | Other | Missouri | BLUE CROSS BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 527,
Bethany, Missouri |
| Zip: | 64424-0527 |
| Phone Number: | 660-425-3312 |
| Fax Number: | 660-425-3438 |
Patients can reach Dr. Kelly Jay Kadolph at
3307 Miller St, Bethany, Missouri or can
call to book an appointment on 660-425-3312.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.