Individual
KODY VAUGHN HANVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
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
Update your record
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