DR. TABO MWIKISA-KELLY RN
NPI 1760351720
Registered Nurse - Urology in Greenbrae, CA

Q: What is Tabo Mwikisa-kelly's NPI number?

The NPI number for Tabo Mwikisa-kelly is 1760351720. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Q: What is Tabo Mwikisa-kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Urology, with taxonomy code 163WU0100X.

Active since October 30, 2025

1240 S ELISEO DR STE 200, GREENBRAE, CA 94904(862) 438-2099 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Tabo Mwikisa-kelly Rn NPPES

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

DR. TABO MWIKISA-KELLY RN (NPI 1760351720) is an individual urology provider in Greenbrae, California, licensed in California (95119319) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1760351720

Entity TypeIndividualFemale

Primary Taxonomy163WU0100X

Provider Legal NameDR. TABO MWIKISA-KELLYCredential: RN

Location Address1240 S ELISEO DR STE 200Greenbrae, CA 94904-2028

Mailing Address207 Koch RdCorte Madera, CA 94925-1264 · (862) 438-2099

Phone(862) 438-2099

Sole ProprietorNo

Enumeration DateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1760351720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · UrologyNursing Service Providers

Taxonomy Code163WU0100X

License✔ Licensed in CA · 95119319

1240 S ELISEO DR STE 200, Greenbrae, CA 94904

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY KALEILANI JANG

Physician Assistant

1240 S ELISEO DR STE 200
GREENBRAE, CA 94904

Marin County (415) 461-4000

DR. ROBERT CHING CHAN M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

1240 S ELISEO DR STE 200
GREENBRAE, CA 94904

Marin County (415) 461-4000

ADRIAN FERNANDEZ MD

Urology

1240 S ELISEO DR STE 200
GREENBRAE, CA 94904

Marin County (415) 461-4000

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 Tabo Mwikisa-kelly's NPI number?

The NPI number for Tabo Mwikisa-kelly is 1760351720. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Tabo Mwikisa-kelly located?

Tabo Mwikisa-kelly practices at 1240 S Eliseo Dr Ste 200, Greenbrae, CA 94904. The listed phone number is (862) 438-2099.

What is Tabo Mwikisa-kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Urology, with taxonomy code 163WU0100X.

When was this NPI record last updated?

The NPPES record for Tabo Mwikisa-kelly was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.