Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Keith Clark, LATC

Individual provider Athletic Trainer · NPI 1124236146

Cameron Keith Clark, LATC is an Athletic Trainer in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007

Practice location Address checks out

3100 W McCormick St
Wichita, KS 67213-2008
Phone: (316) 942-4291
Fax: (316) 942-4483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-00037 (KS)

Record details

NPI number1124236146
Entity typeIndividual (Type 1)
GenderMale
Credentials LATC
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESApril 28, 2014
Mailing address3100 W McCormick St, Wichita, KS 67213-2008

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