IndividualActive
Cameron Clark, L.ATC
NPI 1124236146 · Athletic Trainer · Wichita, KS
Provider details
- NPI number
- 1124236146
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L.ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 24-00037 (KS)
Practice location
3100 W Mccormick St
Wichita, KS 67213-2008
Phone: (316) 942-4291
Fax: (316) 942-4483
Mailing address
3100 W Mccormick St
Wichita, KS 67213-2008
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2014-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.