Mangum, Kevin

Mangum, Kevin is an individual health care provider with primary practice located at 6095 S Fashion Blvd Ste 220 , Murray UT 84107-7393. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mangum, Kevin can be contacted via phone (801) 758-8735.

Contact Information

Primary practice address
6095 S Fashion Blvd Ste 220 Murray UT 84107-7393
Phone: (801) 758-8735
Fax: (801) 769-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8164477-1204 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 8164477-1204 Utah

Profile Details

NPI number 1609140847
LBN Legal business name Mangum, Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Jun 19th, 2023 - about 3 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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