Provider Demographics
NPI:1912276346
Name:ADOLPH, KRISTOPHER COLE (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:COLE
Last Name:ADOLPH
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 1:2020 QUAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2139
Mailing Address - Country:US
Mailing Address - Phone:785-331-8703
Mailing Address - Fax:785-331-0115
Practice Address - Street 1:2415 SARAH ST
Practice Address - Street 2:STE. 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2228
Practice Address - Country:US
Practice Address - Phone:412-381-4453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor