Individual
KENNETH WAYNE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 EAST WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4413
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16851
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194177
MEDCAST
SC
01
—
20057606
SELECT HEALTH
SC
01
—
4214665
AETNA
SC
05
—
690555T
—
NC
01
—
P00760368
RAIL ROAD MEDICARE
SC
05
—
TL8042
—
SC
Enumeration date
05/16/2006
Last updated
01/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us