Individual provider · Type 1 NPI

Kelly Marie Labouf

Licensed Practical Nurse · Waterloo, NY

NPI number 1346777612 Active

Practice location

393 Wagner St Lot 81
Waterloo, NY 13165-6709

Call (607) 662-5705 Map

Fax (607) 662-5705

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X284963 (NY)

Licensed Practical Nurse: An individual 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.

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About NPI 1346777612

Kelly Marie Labouf's National Provider Identifier is 1346777612, issued on May 17, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waterloo, NY. The record was last updated on May 17, 2017.