Organization
KEN ADOLPH WELLNESS, LLC
Active
Organization
KEN ADOLPH WELLNESS, LLC
Active
Other names
Illumma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD KENNETH ADOLPH MD (FOUNDER/MEDICAL DIRECTOR)
(512) 750-1348
Entity
Organization
Contact information
Practice address
2911 MEDICAL ARTS ST STE 19A, AUSTIN, TX 78705-3329
(512) 686-5935
(737) 242-9997
Mailing address
2911 MEDICAL ARTS ST STE 19A, AUSTIN, TX 78705-3329
(512) 585-9594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215901368
—
TX
Enumeration date
11/12/2020
Last updated
05/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up