NPI 1154780146

Jonathon Lovercamp, ATCLAT

Practitioner Athletic Trainer Great Bend, KS

Practice location

Address: 245 NE 30 Rd, Great Bend, KS 67530-9251
Phone: (620) 786-1149
Mailing address: 2600 Adams St APT 8, Great Bend, KS 67530-7167

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-01084 (KS)

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1154780146
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2016
Record last updated: 18 Feb 2016

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.