Individual provider · Type 1 NPI

Cenaan Kelley

Rehabilitation Practitioner · San Mateo, CA

NPI number 1790602845 Active

Practice location

1 E 4th Ave
San Mateo, CA 94401-4001

Mailing address

342 41st Ave
San Mateo, CA 94403-4306

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1790602845

Cenaan Kelley's National Provider Identifier is 1790602845, issued on Jun 30, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Mateo, CA. The record was last updated on Jun 30, 2026.