Individual
JACK HENRY WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12703 W 131ST ST, OVERLAND PARK, KS 66213-5017
(913) 754-6839
Mailing address
12703 W 131ST ST, OVERLAND PARK, KS 66213-5017
(913) 754-6839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KS
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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