Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Kenneth Fairbanks, MD

Individual provider Radiation Oncology Physician · NPI 1821084781

Robert Kenneth Fairbanks, MD is a Radiation Oncology in Lewiston, Idaho. Graduated from Tulane University School of Medicine in 1992, 34 years ago. Practices with Valley Radiation PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Trained at
Tulane University School of Medicine
Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

504 6th St
Lewiston, ID 83501-2439
Phone: (208) 799-5600
Fax: (208) 799-5755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD00037655 (WA)

Record details

NPI number1821084781
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Valley Radiation Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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