Provider Demographics
NPI:1891220489
Name:LABELL, KIRSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRSTIN
Middle Name:
Last Name:LABELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CITY PL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-2479
Mailing Address - Country:US
Mailing Address - Phone:386-302-0975
Mailing Address - Fax:386-302-0976
Practice Address - Street 1:145 CITY PL
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2479
Practice Address - Country:US
Practice Address - Phone:386-302-0975
Practice Address - Fax:386-302-0976
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138589207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine