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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us