Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Jay Kadolph, DC

Individual provider Sports Physician Chiropractor · NPI 1639114366

Dr. Kelly Jay Kadolph, DC is a Chiropractic in Bethany, Missouri. Graduated from Cleveland Chiropractic College - Kansas City in 1985, 41 years ago. Practices with Jenny L Wiemann DC PC, a 4-clinician group. Licensed in Missouri.

Years since qualifying
41
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
MO
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

3307 Miller St
Bethany, MO 64424-2716
Phone: (660) 425-3312
Fax: (660) 425-3438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 005205 (MO)

Record details

NPI number1639114366
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJune 17, 2006
Last updated in NPPESJanuary 16, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 1985 (41 years in practice)
Group practice Jenny L Wiemann Dc Pc — 4 clinicians
Accepts Medicare assignment Not indicated