KENNETH R. FABERT M.D. NPI 1023164944

NPI Information

  • NPI: 1023164944
  • Provider Name: KENNETH R. FABERT, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 19379 7TH AVE NE
    POULSBO, WA
    ZIP 98370
  • Phone: (360) 394-1000

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NPI Details

Kenneth R. Fabert, M.D. is a family medicine in Poulsbo, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth R. Fabert, M.D. NPI is 1023164944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19379 7TH AVE NE
POULSBO, WA
ZIP 98370-504
Phone: (360) 394-1000

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00040512WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GAB34318MEDICARE PINWASHINGTON
28323545MEDICAIDWASHINGTON
3GAB34319MEDICARE PINWASHINGTON
4GAB34320MEDICARE PINWASHINGTON
5GAB34321MEDICARE PINWASHINGTON
6A66408MEDICARE UPINWASHINGTON
7GAB34317MEDICARE PINWASHINGTON
8G8872317MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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