MR. KEVIN MANGUM I, ATC LAT

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1417174392

Practice Address

5800 AIRLINE DR
Metairie, LA 70003

Phone: (504) 733-0255

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes ATH.J00034 (LA)

Frequently Asked Questions

NPI 1417174392 is the National Provider Identifier for MR. KEVIN MANGUM I, ATC LAT, a Specialist/Technologist - Athletic Trainer provider located in Metairie, LA. This NPI was enumerated on April 20, 2007.
MR. KEVIN MANGUM I, ATC LAT practices at 5800 AIRLINE DR, Metairie, LA 70003.

Quick Facts

NPI
1417174392
Type
Individual
Enumerated
Apr 20, 2007
Last Updated
Jul 8, 2007

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