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Active NPI 1023046497 Individual Practitioner Male Practitioner

Kenneth J Henderson , LAT, ATC

Specialist/Technologist - Athletic Trainer • Great Bend, KS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kenneth Henderson, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Great Bend, KS. Official NPI practice address is registered at 245 NE 30 RD.

Practice Location & Contact Primary Location

Practice Address

245 Ne 30 Rd

Great Bend, KS 675309251

Telephone 6207929371
Fax 6207861161

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Great Bend, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Great Bend, KS (593 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License KS 24-00048

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rehab. & Restorative Serv
PROVIDER CODE 22 (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Carol Dellinger , LCPC

Counselor - Mental Health

NPI 1063566230

Licensed Clinical Professional Counselor

Jonathon Lovercamp , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1154780146

Certified Athletic Trainer, Licensed Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 245 NE 30 RD, GREAT BEND, KS 675309251 (Tel: 6207929371)

📍
Updated Business Mailing Address July 08, 2007

Registered at 245 NE 30 RD, GREAT BEND, KS 675309251 (Tel: 6207929371)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH HENDERSON, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #24-00048 in KS)

🟢
Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023046497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

245 Ne 30 Rd

Great Bend, KS 675309251

Phone: 6207929371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.