Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kelly Jay Kadolph, D.C.

Sports Physician Chiropractor in Bethany, MO · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639114366

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Registry record

Entity type Individual (Type 1)

Name Dr. Kelly Jay Kadolph

Credential D.C.

Sex Male

Practice address Bethany, MO, 64424

Phone (660) 425-3312

Fax (660) 425-3438

Enumeration date Jun 17, 2006

Last updated in NPPES Jan 16, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

111NS0005X Sports Physician Chiropractor Chiropractic Providers · License 005205 (MO) Primary

DC · Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential

Other identifiers

Identifier	Type	State	Issuer
20768013	Other	MO	BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kelly Kadolph?

The National Provider Identifier (NPI) for Kelly Kadolph is 1639114366, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kelly Kadolph practice?

The practice location on file with NPPES is in Bethany, MO. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-16.