Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KEVIN MANGUM
Active
Individual
KEVIN MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8164477-1204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
8164477-1204
UT
Other
Enumeration date
03/06/2012
Last updated
06/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up