Kenneth Henderson, LAT, ATC

NPI 1023046497 · on the registry since 2006 · sole proprietor

Practice

Address: 245 Ne 30 Rd
Great Bend, KS 67530
Phone: (620) 792-9371
Fax: (620) 786-1161
Clinicians at this address: 3

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas