Kenneth Brown III, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

24-01065 Issued in KS

Practice address

1500 S Sioux Dr
Olathe, KS 66062-2416

Phone

(913) 620-4715

NPI assigned

Sep 18, 2015

Last updated

Jul 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1023487121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S SIOUX DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622416",
            "telephone_number": "913-620-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SIOUX DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622416",
            "telephone_number": "913-620-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KENNETH",
        "name_suffix": "III",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2015032420",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-01065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Nicole Brown, OTR/L
• David Brown, LAC
• Elizabeth Alexandra Brown, LMFT
• Ginger Elizabeth Brown, L.S.C.S.W.
• Kendra Brown, MS, CCC-SLP
• Keyle Brown, LMSW-T
• Laura E. Brown, DDS,MS,PA
• Lucilla Hustad Brown, LAC
• Nicole Brown, NCC, LPC
• Richard D Brown, D.C.

• Athletic Trainer in Olathe, KS
• Providers in Olathe, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.