Individual
CENAAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 E 4TH AVE, SAN MATEO, CA 94401-4001
(707) 623-4556
Mailing address
342 41ST AVE, SAN MATEO, CA 94403-4306
(707) 623-4556
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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