Kameron Micheal Dickerson

Athletic Trainer · Overland Park, KS

Individual Active NPI

NPI number 1962167189

Practice location

10730 Nall Ave
Overland Park, KS 66211-1366
Phone
(913) 574-1002

Open in Google Maps

NPI record

NPI
1962167189
Entity type
Individual (Type 1)
Enumeration date
November 2, 2021
Last updated
July 15, 2025
Certified
July 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2401676 KS
Athletic Trainer 2255A2300X — IL
Student in an Organized Health Care Education/Training Program 390200000X — IL

Mailing address

7913 E 117TH St
Kansas City, MO 64134-4039
Phone
(309) 235-9133

About Kameron Dickerson

Kameron Micheal Dickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 10730 Nall Ave, Overland Park, KS 66211-1366. The NPI number 1962167189 was assigned on November 2, 2021 and the record was last updated on July 15, 2025.

Kameron Dickerson lists a license in the registry: #2401676 (KS) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kameron Micheal Dickerson?

The NPI number is 1962167189.

What is the phone number of Kameron Dickerson?

The phone number listed for the practice location is (913) 574-1002.

Where is Kameron Dickerson located?

10730 Nall Ave, Overland Park, KS 66211-1366.

What is the taxonomy code for Kameron Dickerson?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Overland Park

All Athletic Trainer providers in Overland Park, KS →