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

Kenneth Fanning

Individual provider Pharmacist · NPI 1982273827

Kenneth Fanning is a Pharmacist in Saint Marys, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

555 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3030
Phone: (904) 616-9096
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PHWH005053 (GA)

Record details

NPI number1982273827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address1536 N Market St, Jacksonville, FL 32206-4540

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