Individual
DR. KEVIN DALE ADOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30 LAKE SHORE PLZ, KIRKLAND, WA 98033-6175
(425) 822-4325
(425) 777-2111
Mailing address
25223 132ND PL SE, KENT, WA 98042-6615
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
41000232A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60217479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281189
L&I
—
Enumeration date
06/29/2009
Last updated
07/23/2013
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