Active NPIIndividual provider

Kelsey S Brennan

Physician Assistant in Wolcott, Connecticut

NPI Number1114606399
Practice location
464 Wolcott RD, Wolcott, CT 06716-2626
Fax
203-879-1191
Last updated
July 31, 2026

Kelsey S Brennan is a Physician Assistant based in Wolcott, CT. Kelsey S Brennan practices in Wolcott, CT. The NPI Number for Kelsey S Brennan is 1114606399 and holds a License No. 030825 (NY). The current practice location address for Kelsey S Brennan is 464 Wolcott RD, Wolcott, CT 06716-2626 and can be reached out via phone at 203-879-6171 and via fax at 203-879-1191.

Provider Profile Details

NPI Number
1114606399
Provider Name
Kelsey S Brennan
Provider Entity Type
Individual
Gender
Female
Address
464 Wolcott RD, Wolcott, CT 06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2023
Last Update Date
July 31, 2026
Certification Date
July 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
464 Wolcott RD
Wolcott, CT 06716-2626
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
464 Wolcott RD
Wolcott, CT 06716-2626
City
Wolcott
State
CT
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191

License Information

License Number
030825
License State
NY
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey S Brennan?

The NPI number of Kelsey S Brennan is 1114606399. It was assigned on July 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelsey S Brennan?

Kelsey S Brennan is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 030825.

Where does Kelsey S Brennan practice?

The practice location is 464 Wolcott RD, Wolcott, CT 06716-2626. The office can be reached at 203-879-6171 (phone) or 203-879-1191 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114606399 directly on the NPPES registry website.

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