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CENAAN KELLEY
NPI 1790602845
Rehabilitation Practitioner in San Mateo, CA

Active since June 30, 2026
1 E 4TH AVE, SAN MATEO, CA 94401(707) 623-4556 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cenaan Kelley NPPES

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

CENAAN KELLEY (NPI 1790602845) is an individual rehabilitation practitioner in San Mateo, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1790602845
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameCENAAN KELLEY
Location Address1 E 4TH AVESan Mateo, CA 94401-4001
Mailing Address342 41st AveSan Mateo, CA 94403-4306 · (707) 623-4556
Phone(707) 623-4556
Sole ProprietorYes
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1790602845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

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

1 E 4TH AVE, San Mateo, CA 94401
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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 Cenaan Kelley's NPI number?

The NPI number for Cenaan Kelley is 1790602845. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Cenaan Kelley located?

Cenaan Kelley practices at 1 E 4th Ave, San Mateo, CA 94401. The listed phone number is (707) 623-4556.

What is Cenaan Kelley's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Cenaan Kelley was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.