Kenneth J Henderson, LAT, ATC
NPI #1023046497 in Great Bend, Kansas
Provider Information
- NPI Number
- 1023046497
- Entity Type
- Individual
- Name
- Kenneth J Henderson, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 245 NE 30 RD
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-9251
- Phone
- (620) 792-9371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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