Individual
KENNETH BROWN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1500 S SIOUX DR, OLATHE, KS 66062-2416
(913) 620-4715
Mailing address
1500 S SIOUX DR, OLATHE, KS 66062-2416
(913) 620-4715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2015032420
MO
2255A2300X
Athletic Trainer
Primary
24-01065
KS
Other
Enumeration date
09/18/2015
Last updated
07/23/2016
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