Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Kevin Fann

Individual provider Family Medicine Physician · NPI 1417880246

Jeffrey Kevin Fann is a Family Medicine Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 876-7081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LL97134 (SC)

Record details

NPI number1417880246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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