Provider Demographics
NPI:1326466475
Name:FABER, ERIN N (DO)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:FABER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:9705 LENEXA DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1345
Mailing Address - Country:US
Mailing Address - Phone:816-241-3338
Mailing Address - Fax:
Practice Address - Street 1:9705 LENEXA DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215
Practice Address - Country:US
Practice Address - Phone:816-241-3338
Practice Address - Fax:816-936-8118
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-42142207ZC0500X, 207ZP0102X
TXBP10062276207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2019024144OtherMISSOURI MEDICAL BOARD
TXBP10062276OtherTEXAS MEDICAL BOARD
ARE-11164OtherARKANSAS STATE MEDICAL BOARD
KS05-42142OtherKANSAS MEDICAL LICENSE
KYR3483OtherKENTUCKY BOARD OF MEDICAL LICENSURE