Individual
KODY VAUGHN HANVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9499
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31489
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
31489
SC
Other
Enumeration date
01/29/2026
Last updated
03/26/2026
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