Individual
KEVAN FEGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3874 RENEE DR UNIT D, MYRTLE BEACH, SC 29579-4358
(843) 903-4500
(843) 903-4505
Mailing address
3874 RENEE DR UNIT D, MYRTLE BEACH, SC 29579-4358
(843) 903-4500
(843) 903-4505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
245720
SC
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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