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Dr. Jerry E. Kadolph, DC
Chiropractor in Bethany, Missouri
NPI 1790720423

Jerry E. Kadolph is a Chiropractor based in Bethany, MO. Jerry E. Kadolph practices in Bethany, MO and has the professional credentials of DC. The NPI Number for Jerry E. Kadolph is 1790720423 and holds a License No. 003057 (Missouri).

The current practice location address for Jerry E. Kadolph is 1704 Main St, Bethany, MO and can be reached out via phone at 660-425-3312.

Location: 1704 Main St, Bethany, MO, 64424-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790720423
Provider Name
Jerry E. Kadolph
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1704 Main St, Bethany, MO, 64424-2064
Phone Number
660-425-3312
Fax Number
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05341014 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1704 Main St
City
Bethany
State
Missouri
Zip
64424-2064
Phone Number
660-425-3312
Fax Number
person
Provider Business Mailing Address Details
Address
1704 Main St
City
Bethany
State
Missouri
Zip
64424-2064
Phone Number
660-425-3312
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
003057 (Missouri)
Definition
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.
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