Healthcare Provider Details

I. General information

NPI: 1467418210
Provider Name (Legal Business Name): MICHELLE R LABES ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE R KINCAID

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 ELM ST
MINNEAPOLIS KS
67467-1608
US

IV. Provider business mailing address

830 ELM ST
MINNEAPOLIS KS
67467-1608
US

V. Phone/Fax

Practice location:
  • Phone: 785-392-2144
  • Fax: 785-392-3231
Mailing address:
  • Phone: 785-392-2144
  • Fax: 785-392-3231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-45219
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number53-45219
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: