Kevin Dee Mangum in Kenner - Athletic Trainer
Kevin Dee Mangum - NPI 1417174392
Kevin Dee Mangum is a Athletic Trainer in Kenner, Louisiana. Kevin Dee Mangum practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Kevin Dee Mangum is 1417174392. The last update date is 2007-07-08.
Kevin Dee Mangum's current location address is 5325 Cocos Plumosas Dr, Kenner, Louisiana. You can contact this provider via phone number 5048859111 and fax number 5047311805. The mailing address for Kevin Dee Mangum is 5325 Cocos Plumosas Dr, Kenner, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Dee Mangum |
|---|---|
| Address | 5325 Cocos Plumosas Dr, Kenner, Louisiana |
| Phone Number | 5048859111 |
| Fax Number | 5047311805 |
| Sole Proprietor | N |
| Credentials | ATC LAT |
NPI Number Detail
| NPI Number | 1417174392 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5325 Cocos Plumosas Dr |
|---|---|
| City | Kenner |
| State | Louisiana (LA) |
| Post Code | 700652320 |
| Phone Number | 5048859111 |
| Fax Number | 5047311805 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | ATH.J00034 |
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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-leve |
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What is the Kevin Dee Mangum's unique identification number?
The Kevin Dee Mangum has been assigned the NPI (National Provider Identifier) Number 1417174392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kevin Dee Mangum located?
The Kevin Dee Mangum is located at 5325 Cocos Plumosas Dr, Kenner, LA 700652320.
What is Kevin Dee Mangum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Dee Mangum is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417174392 to Kevin Dee Mangum?
The Centers for Medicare & Medicaid Services originally issued the 1417174392 to Kevin Dee Mangum on 2007-04-20.
As of what date was the information regarding Kevin Dee Mangum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Dee Mangum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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