Individual
JENNA BORDELON KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 SOUTH RD, FARMINGTON, CT 06032-2482
(860) 679-4600
(860) 679-3207
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
074264
CT
207N00000X
Dermatology Physician
MT214475
PA
Other
Enumeration date
05/13/2016
Last updated
07/11/2023
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