KELLY MARIE LABOUF
NPI 1346777612
Licensed Practical Nurse in Waterloo, NY

Active since May 17, 2017
393 WAGNER ST LOT 81, WATERLOO, NY 13165(607) 662-5705(607) 662-5705 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Marie Labouf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE LABOUF (NPI 1346777612) is an individual licensed practical nurse in Waterloo, New York, licensed in New York (284963) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1346777612
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY MARIE LABOUF
Location Address393 WAGNER ST LOT 81Waterloo, NY 13165-6709
Mailing Address393 Wagner St Lot 81Waterloo, NY 13165-6709 · (607) 662-5705
Fax(607) 662-5705
Sole ProprietorYes
Enumeration DateMay 17, 2017
NPI 1346777612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 284963
Definition
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.
393 WAGNER ST LOT 81, Waterloo, NY 13165

Other Names 1

Other Name (5)Kelly Janack

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Labouf's NPI number?

The NPI number for Kelly Labouf is 1346777612. It was assigned to this individual provider in the NPPES registry on May 17, 2017. The provider is also known as Kelly Janack.

Where is Kelly Labouf located?

Kelly Labouf practices at 393 Wagner St Lot 81, Waterloo, NY 13165. The listed phone number is (607) 662-5705.

What is Kelly Labouf's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Labouf was last updated on May 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.