Individual
KAMERON MICHEAL DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10730 NALL AVE, OVERLAND PARK, KS 66211-1366
(913) 574-1002
Mailing address
7913 E 117TH ST, KANSAS CITY, MO 64134-4039
(309) 235-9133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2401676
KS
2255A2300X
Athletic Trainer
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
11/02/2021
Last updated
07/15/2025
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