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

Kenneth J Henderson, LAT, ATC

Individual provider Athletic Trainer · NPI 1023046497

Kenneth J Henderson, LAT, ATC is an Athletic Trainer in Great Bend, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

245 NE 30 Rd
Great Bend, KS 67530-9251
Phone: (620) 792-9371
Fax: (620) 786-1161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-00048 (KS)

Record details

NPI number1023046497
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 8, 2007

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