Provider Demographics
NPI:1467418210
Name:LABES, MICHELLE R (ARNP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:LABES
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:R
Other - Last Name:KINCAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:830 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-1608
Mailing Address - Country:US
Mailing Address - Phone:785-392-2144
Mailing Address - Fax:785-392-3231
Practice Address - Street 1:830 ELM ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-1608
Practice Address - Country:US
Practice Address - Phone:785-392-2144
Practice Address - Fax:785-392-3231
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45219363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100402140FMedicaid
KS161217Medicare ID - Type Unspecified
KSP41853Medicare UPIN