Adolf, Kevin Dale

Adolf, Kevin Dale is an individual health care provider with primary practice located at 30 Lake Shore Plz , Kirkland WA 98033-6175. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Adolf, Kevin Dale can be contacted via phone (425) 822-4325.

Contact Information

Primary practice address
30 Lake Shore Plz Kirkland WA 98033-6175
Phone: (425) 822-4325
Fax: (425) 777-2111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 41000232A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO60217479 Washington

Profile Details

NPI number 1124256151
LBN Legal business name Adolf, Kevin Dale
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Jul 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124256151 NPPES
Other 281189 L&I

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