Individual
BONNIE K. LABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 RAINBOW BLVD, DEPARTMENT OF NEUROSURGERY, KANSAS CITY, KS 66160-0001
(913) 588-6164
Mailing address
3901 RAINBOW BLVD, DEPARTMENT OF NEUROSURGERY, KANSAS CITY, KS 66160-0001
(913) 588-6164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13-78775-081
KS
363L00000X
Nurse Practitioner
Primary
53-45211
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-78775-081
RN LICENSE
KS
01
—
53-45211
ARNP LICENSE
KS
Enumeration date
06/15/2007
Last updated
07/07/2010
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