Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN DEE MANGUM I, ATC LAT
ActiveAthletic Trainer · METAIRIE, LA
Registration Details
- NPI Number
- 1417174392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2007 (19.005980015342 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ATH.J00034 (LA)
Practice Information
- Address
-
5800 AIRLINE DRMETAIRIE, LA, 700033876Browse LA providers · Browse ZIP 70003
- Phone
- 5047330255
- Fax
- 5047311805
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in METAIRIE, LA
| Name | Credential | NPI |
|---|---|---|
| RAYMOND RAPHAEL | ATC | 1033267505 |
| MS. KATHERINE CORBLY MILLER | ATC, LAT | 1184921231 |
| LOREN ALEMAN | ATC | 1427336460 |
| REGGIE STONE | ATC | 1336563246 |
| MR. SCOTTIE PATTON | — | 1164846069 |
| DUANE BROOKS | — | 1508280314 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.