Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Mangum, DO

Individual provider Family Medicine Physician · NPI 1609140847

Kevin Mangum, DO is a Family Practice in Murray, Utah. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2017, 9 years ago. Practices with Primary Healthcare, PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
9
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6095 S Fashion Blvd Ste 220
Murray, UT 84107-7393
Phone: (801) 758-8735
Fax: (801) 769-2092
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 8164477-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 8164477-1204 (UT)

Record details

NPI number1609140847
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 6, 2012
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address6095 S Fashion Blvd Ste 220, Murray, UT 84107-7393

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2017 (9 years in practice)
Group practice Primary Healthcare, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Murray