Provider Demographics
NPI:1164742433
Name:KADOLPH, ZACHARY CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:CRAIG
Last Name:KADOLPH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10841 W 87TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1660
Mailing Address - Country:US
Mailing Address - Phone:913-353-3377
Mailing Address - Fax:913-353-3401
Practice Address - Street 1:10841 W 87TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1660
Practice Address - Country:US
Practice Address - Phone:816-806-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010017038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor