KAMERON MICHEAL DICKERSON
NPI 1962167189
Specialist/Technologist - Athletic Trainer in Overland Park, KS

Active since November 02, 2021
10730 NALL AVE, OVERLAND PARK, KS 66211(913) 574-1002 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2023, Nov 2, 2021 (2 updates tracked since 2021).

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About KAMERON DICKERSON

This page provides the complete NPI Profile along with additional information for Kameron Dickerson, a provider established in Overland Park, Kansas with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1962167189 assigned on November 2021. The practitioner's primary taxonomy code is 2255A2300X with license number 2401676 (KS). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1962167189 Verify this NPI
Provider Name
KAMERON MICHEAL DICKERSON
Gender
Male
Entity Type
Individual
Location Address
10730 NALL AVE OVERLAND PARK, KS 66211
Location Phone
(913) 574-1002
Mailing Address
7913 E 117TH ST KANSAS CITY, MO 64134
Mailing Phone
(309) 235-9133
Is Sole Proprietor?
No
Enumeration Date
11-02-2021
Last Update Date
07-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2401676
License State
KS
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

(IL)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(IL)

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
10730 NALL AVE, SUITE 101
OVERLAND PARK, KS 66211
Surgery
10730 NALL AVE
OVERLAND PARK, KS 66211
Nurse Anesthetist, Certified Registered
10730 NALL AVE, 100
OVERLAND PARK, KS 66211
Orthopaedic Surgery
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE, SUITE 203
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE, STE 200
OVERLAND PARK, KS 66211
Family Medicine
10730 NALL AVE, SUITE 100
OVERLAND PARK, KS 66211
Surgery (Vascular Surgery)
10730 NALL AVE, SUITE 101
OVERLAND PARK, KS 66211
Nurse Practitioner
10730 NALL AVE, SUITE 101
OVERLAND PARK, KS 66211
Specialist/Technologist (Athletic Trainer)
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Pathology (Anatomic Pathology & Clinical Pathology)
10730 NALL AVE, STE 100
OVERLAND PARK, KS 66211
Family Medicine (Adult Medicine)
10730 NALL AVE, STE. 200
OVERLAND PARK, KS 66211
Specialist/Technologist (Athletic Trainer)
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Point of Service
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Point of Service
10730 NALL AVE, 200
OVERLAND PARK, KS 66211
Nurse Practitioner
10730 NALL AVE, STE 101
OVERLAND PARK, KS 66211
Surgery
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Specialist
10730 NALL AVE, SUITE 204
OVERLAND PARK, KS 66211
Physical Therapist
10730 NALL AVE
OVERLAND PARK, KS 66211
Specialist/Technologist (Athletic Trainer)
10730 NALL AVE
OVERLAND PARK, KS 66211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962167189, enumerated as an "individual" on November 02, 2021.

The provider is located at 10730 NALL AVE OVERLAND PARK, KS 66211 and the phone number is (913) 574-1002.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.