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

Mr. Kevin Dee Mangum I, ATC, LAT

Individual provider Athletic Trainer · NPI 1417174392

Mr. Kevin Dee Mangum I, ATC, LAT is an Athletic Trainer in Metairie, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

5800 Airline Dr
Metairie, LA 70003-3876
Phone: (504) 733-0255
Fax: (504) 731-1805
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATH.J00034 (LA)

Record details

NPI number1417174392
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007

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