Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Kennedy

Individual provider Case Manager/Care Coordinator · NPI 1255922118

Derrick Kennedy is a Case Manager/Care Coordinator in San Rafael, California. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1089 Lea Dr
San Rafael, CA 94903-3746
Phone: (510) 368-0651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5751 Adeline St, Oakland, CA 94608-2815 — (510) 368-0651
  • 51 Elda Dr, San Rafael, CA 94903-3723 — (510) 368-0651

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1255922118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2021
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address1089 Lea Dr, San Rafael, CA 94903-3746

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