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

Kellen Grace Dunn

Individual provider Physician Assistant · NPI 1407654767

Kellen Grace Dunn is a Physician Assistant in San Rafael, California. Qualified in 2025, 1 year ago. Practices with Ritter Center, a 3-clinician group. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025

Practice location Address checks out

16 Ritter St
San Rafael, CA 94901-3323
Phone: (415) 457-8182
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66227 (CA)

Record details

NPI number1407654767
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address16 Ritter St, San Rafael, CA 94901-3323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ritter Center — 3 clinicians
Accepts Medicare assignment Not indicated

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