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

Ken-Shih Fan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386389146

Ken-Shih Fan, DO is a Family Practice in Sanford, North Carolina. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2022, 4 years ago. Practices with Dlp Central Carolina Medical Group LLC, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1125 Carthage St
Sanford, NC 27330-4162
Phone: (919) 774-6023
Show map & directions

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

Additional practice locations (1)

  • 751 Liberty St, Meadville, PA 16335-2591 — (814) 333-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025-02593 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386389146
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESJuly 25, 2025
Certification dateJune 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2022 (4 years in practice)
Group practice Dlp Central Carolina Medical Group Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sanford