Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH J HENDERSON, LAT, ATC
Active Sole ProprietorKENNETH J HENDERSON, LAT, ATC is a Athletic Trainer healthcare provider located in GREAT BEND, Kansas. NPI 1023046497 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREAT BEND, KS
Registration Details
- NPI Number
- 1023046497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.086994328586 yrs)
- Last Updated
- Jul 8, 2007
- License
-
24-00048 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 NE 30 RDGREAT BEND, KS, 675309251Browse KS providers · Browse ZIP 67530
- Phone
- 6207929371
- Fax
- 6207861161
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREAT BEND, KS
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHON LOVERCAMP | ATC, LAT | 1154780146 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.