Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TABO MWIKISA-KELLY, RN
ActiveDR. TABO MWIKISA-KELLY, RN is a Urology Nurse healthcare provider located in GREENBRAE, California. NPI 1760351720 is currently active in the NPPES registry. Verify at CMS.
Urology Nurse · GREENBRAE, CA
Registration Details
- NPI Number
- 1760351720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2025 (0.6048509221316 yrs)
- Last Updated
- Oct 30, 2025
- License
-
95119319 (CA)
Practice Information
- Address
-
1240 S ELISEO DR STE 200GREENBRAE, CA, 949042028Browse CA providers · Browse ZIP 94904
- Phone
- 8624382099
- Primary Specialty
-
Urology Nurse
163WU0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.