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Contact Information

AARON MANGUM, MAT, ATC
2850 JERICHO ROAD
CRESTWOOD, KY40031
 Phone: 502-648-8483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for AARON MANGUM · (Male)

NPI Number 1407250483
Status Active
Credentials MAT, ATC
Entity Individual
Enumeration date 10/20/2014
Last updated 10/20/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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