KELLY WAYNE TABOR

COLORADO SPRINGS, CO
NPI1245946599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0998433-NP)
Enumeration Date2023-01-30
Last Update Date2023-02-09
Business Address
KELLY WAYNE TABOR FNP-C
9904 CUB LAKE TRL
COLORADO SPRINGS, CO 80924-1202
Phone number: 609-680-1389
Mailing Address
KELLY WAYNE TABOR FNP-C
9904 CUB LAKE TRL
COLORADO SPRINGS, CO 80924-1202
Phone number: 609-680-1389
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