Individual
CAROL J FABIAN
Active
Individual
CAROL J FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
04-16438
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06691035
BCBS KC
MO
05
—
100195350A
—
KS
05
—
200981801
—
MO
01
—
663870
FIRSTGUARD
KS
Enumeration date
09/19/2006
Last updated
05/28/2014
Update your record
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