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

Kelly Rae Glenn, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104568419

Kelly Rae Glenn, DPM is a Podiatry in San Francisco, California. Graduated from California School of Podiatric Medicine in 2022, 4 years ago. Practices with The West Oakland Health Council, a 24-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4150 Clement St
San Francisco, CA 94121-1563
Phone: (415) 221-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence UNKNOWN (CA)

Record details

NPI number1104568419
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 8, 2022
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice The West Oakland Health Council — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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