Individual
DR. KEVIN MICHAEL FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
10362
ND
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
10362
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500897
MEDICA
—
01
—
10362
STATE LICENSE-PERMANENT
ND
05
—
13954
—
ND
05
—
568618000
—
MN
01
—
575G8FA
MN BCBS
—
01
—
HP70703
HEALTHPARTNERS
—
Enumeration date
08/02/2006
Last updated
03/25/2022
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