Mangum, Kevin Dee

Mangum, Kevin Dee is an individual health care provider with primary practice located at 5800 Airline Dr , Metairie LA 70003-3876. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mangum, Kevin Dee can be contacted via phone (504) 733-0255.

Contact Information

Primary practice address
5800 Airline Dr Metairie LA 70003-3876
Phone: (504) 733-0255
Fax: (504) 731-1805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATH.J00034 Louisiana

Profile Details

NPI number 1417174392
LBN Legal business name Mangum, Kevin Dee
Credentials ATC LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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