Provider Demographics
NPI:1801207691
Name:KNUDSON & KADOLF WELLNESS SOLUTIONS, INC.
Entity Type:Organization
Organization Name:KNUDSON & KADOLF WELLNESS SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:C
Authorized Official - Last Name:KADOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-806-1334
Mailing Address - Street 1:10841 W 87TH ST
Mailing Address - Street 2:#200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1657
Mailing Address - Country:US
Mailing Address - Phone:913-825-3900
Mailing Address - Fax:913-825-3901
Practice Address - Street 1:10841 W 87TH ST
Practice Address - Street 2:#200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1657
Practice Address - Country:US
Practice Address - Phone:913-825-3900
Practice Address - Fax:913-825-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty