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NPI Code Detail

MEDICARE: KIMBERLY LABARR NP

MEDICARE:   KIMBERLY  LABARR  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner772790NY
2363LF0000XFamily Nurse Practitioner356991NY

General Provider Information

NPI Number : 1447630561
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LABARR NP
Provider Business Mailing Address
First Line : 6 GAILS TRL
Second Line :
City : WEST CHAZY
State : NY
Zip : 12992-2201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 CORNELIA ST
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-2878
Country : US
Telephone Number : 518-561-5516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2015
Last Update Date : 06/16/2025

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