KELLY MARIE LABOUF NPI 1346777612

NPI Information

  • NPI: 1346777612
  • Provider Name: KELLY MARIE LABOUF
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 393 WAGNER ST LOT 81
    WATERLOO, NY
    ZIP 13165
  • Phone: (607) 662-5705

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NPI Details

Kelly Marie Labouf is a licensed practical nurse in Waterloo, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Kelly Marie Labouf NPI is 1346777612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

393 WAGNER ST LOT 81
WATERLOO, NY
ZIP 13165-709
Phone: (607) 662-5705
Fax: (607) 662-5705

The enumeration date for this NPI number is 5/17/2017 and was last updated on 5/17/2017.

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
1164W00000XLicensed Practical Nurse284963NEW YORKYes

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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