Provider Demographics
NPI:1184832875
Name:FABIATO, KRISTIN WICK (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:WICK
Last Name:FABIATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7650 EAST PARHAM RD MOB11
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294
Mailing Address - Country:US
Mailing Address - Phone:804-272-2702
Mailing Address - Fax:804-272-9355
Practice Address - Street 1:7650 E. PARHAM RD
Practice Address - Street 2:MOB11 SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294
Practice Address - Country:US
Practice Address - Phone:804-272-2702
Practice Address - Fax:804-747-9050
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2009-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101239096207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism