MR. KEVIN DEE MANGUM I ATC LAT
NPI 1417174392
Specialist/Technologist - Athletic Trainer in Metairie, LA

Q: What is Kevin Mangum's NPI number?

The NPI number for Kevin Mangum is 1417174392. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Kevin Mangum's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mangum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2007

5800 AIRLINE DR, METAIRIE, LA 70003(504) 733-0255(504) 731-1805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Kevin Dee Mangum I Atc Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN DEE MANGUM I ATC LAT (NPI 1417174392) is an individual athletic trainer provider in Metairie, Louisiana, licensed in Louisiana (ATH.J00034) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1417174392

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. KEVIN DEE MANGUM ICredential: ATC LAT

Location Address5800 AIRLINE DRMetairie, LA 70003-3876

Mailing Address5325 Cocos Plumosas DrKenner, LA 70065-2320 · (504) 885-9111 · Fax (504) 731-1805

Phone(504) 733-0255

Fax(504) 731-1805

Sole ProprietorNo

Enumeration DateApril 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417174392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in LA · ATH.J00034

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

5800 AIRLINE DR, Metairie, LA 70003

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SCOTTIE PATTON

Specialist/Technologist (Athletic Trainer)