| NPI | 1467500199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON KEITH CLARK Head Certified Athletic Trainer 316-942-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00037) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |