Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sam Allen Detwiler, MD, ATC

Individual provider Athletic Trainer · NPI 1871025767

Dr. Sam Allen Detwiler, MD, ATC is an Athletic Trainer in Kansas City, Kansas. Works from 2 locations. Licensed in Kansas and Texas.

Licensed in
KS, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3901 Rainbow Blvd # MS 2027
Kansas City, KS 66160-0006
Phone: (913) 588-3974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Rainbow Blvd # Ms 1046, Kansas City, KS 66160-0006 — (913) 588-6777

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 94-11926 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence AT8023 (TX)

Record details

NPI number1871025767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , ATC
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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