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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: August 09, 2026.

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

About Kameron Micheal Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMERON MICHEAL DICKERSON (NPI 1962167189) is an individual athletic trainer provider in Overland Park, Kansas, licensed in Kansas (2401676) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1962167189
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKAMERON MICHEAL DICKERSON
Location Address10730 NALL AVEOverland Park, KS 66211-1366
Mailing Address7913 E 117th StKansas City, MO 64134-4039 · (309) 235-9133
Phone(913) 574-1002
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1962167189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in KS · 2401676
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10730 NALL AVE, Overland Park, KS 66211
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUSTIN WAYNE LEHR DO
Surgery
10730 NALL AVE, STE 101
OVERLAND PARK, KS 66211
Johnson County (913) 754-2800
ALLYSON DIBERT LENZ BSN, RN, MSN, FNP-BC
Nurse Practitioner (Family)
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 945-9837
MARY JULIAN PHILLIPS P.T.
Physical Therapist
10730 NALL AVE, SUITE 203
OVERLAND PARK, KS 66211
Johnson County (913) 383-8977
MS. SHEFALI SHIRALI B SC, LPT
Physical Therapist
10730 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 385-0075
PHYSICIANS REFERENCE LABORATORY LLC
Pathology (Anatomic Pathology & Clinical Pathology)
10730 NALL AVE, STE 100
OVERLAND PARK, KS 66211
Johnson County (913) 338-4070
SOUTH KANSAS CITY SURGICAL CENTER, LC
Clinic/Center (Ambulatory Surgical)
10730 NALL AVE, SUITE 100
OVERLAND PARK, KS 66211
Johnson County (913) 901-9000
ADVANCED SPINE & ORTHOPAEDIC SPECIALISTS, PA
Orthopaedic Surgery
10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 649-7300
MRS. ASHLEY KENDRICK DPT
Specialist
10730 NALL AVE, SUITE 204
OVERLAND PARK, KS 66211
Johnson County (913) 385-0075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kameron Dickerson's NPI number?

The NPI number for Kameron Dickerson is 1962167189. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Kameron Dickerson located?

Kameron Dickerson practices at 10730 Nall Ave, Overland Park, KS 66211. The listed phone number is (913) 574-1002.

What is Kameron Dickerson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kameron Dickerson was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.