Individual
KEN-SHIH FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-6023
Mailing address
84 HAVEN CREEK RD APT 210, PITTSBORO, NC 27312-1858
(919) 327-7676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-02593
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
07/25/2025
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