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

Kelly MA

Individual provider Rehabilitation Practitioner · NPI 1689449639

Kelly MA is a Rehabilitation Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

485 N 1st St
San Jose, CA 95112-4067
Phone: (510) 317-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1689449639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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