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

Kameron Micheal Dickerson

Individual provider Athletic Trainer · NPI 1962167189

Kameron Micheal Dickerson is an Athletic Trainer in Overland Park, Kansas. Licensed in Illinois and Kansas. Registered with an NPI since 2021.

Licensed in
IL, KS
In the registry since
2021
Specialties on file
3

Practice location Address checks out

10730 Nall Ave
Overland Park, KS 66211-1366
Phone: (913) 574-1002
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2401676 (KS)
Athletic Trainer Taxonomy 2255A2300X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1962167189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address7913 E 117th St, Kansas City, MO 64134-4039

Other providers in Overland Park