Vaughn, Kenneth Wayne

Vaughn, Kenneth Wayne is an individual health care provider with primary practice located at 101 East Wood St Emergency Center, Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vaughn, Kenneth Wayne can be contacted via phone (864) 560-6000.

Contact Information

Primary practice address
101 East Wood St Emergency Center Spartanburg SC 29303-3040
Fax: (864) 560-4413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16851 South Carolina

Profile Details

NPI number 1750333183
LBN Legal business name Vaughn, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750333183 NPPES
South Carolina Other 4214665 AETNA
South Carolina Other P00760368 AETNA
South Carolina Other 20057606 AETNA
South Carolina MEDICAID 690555T AETNA
South Carolina MEDICAID TL8042 AETNA
South Carolina Other 194177 AETNA

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