NPI 1023046497

Kenneth J Henderson, LATATC

Practitioner Athletic Trainer Great Bend, KS

Practice location

Address: 245 NE 30 Rd, Great Bend, KS 67530-9251
Phone: (620) 792-9371
Fax: (620) 786-1161

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-00048 (KS)

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1023046497
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.