KELLY WAYNE TABOR FNP-C
NPI 1245946599
Nurse Practitioner - Family in Colorado Springs, CO

Q: What is Kelly Tabor's NPI number?

The NPI number for Kelly Tabor is 1245946599. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Q: What is Kelly Tabor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Tabor was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2023

9904 CUB LAKE TRL, COLORADO SPRINGS, CO 80924(609) 680-1389 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2023, Jan 30, 2023 (2 updates tracked since 2023).

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About Kelly Wayne Tabor Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WAYNE TABOR FNP-C (NPI 1245946599) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0998433-NP) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1245946599

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY WAYNE TABORCredential: FNP-C

Location Address9904 CUB LAKE TRLColorado Springs, CO 80924-1202

Mailing Address9904 Cub Lake TrlColorado Springs, CO 80924-1202 · (609) 680-1389

Phone(609) 680-1389

Sole ProprietorYes

Enumeration DateJanuary 30, 2023

Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1245946599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.0998433-NP

9904 CUB LAKE TRL, Colorado Springs, CO 80924

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Tabor's NPI number?

The NPI number for Kelly Tabor is 1245946599. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Kelly Tabor located?

Kelly Tabor practices at 9904 Cub Lake Trl, Colorado Springs, CO 80924. The listed phone number is (609) 680-1389.

What is Kelly Tabor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Tabor was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.