Individual
MRS. KELSEY EJZAK CAULFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270 MAIN ST STE A, PORTLAND, CT 06480-1836
(860) 358-5040
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
2312
CT
Other
Enumeration date
08/20/2009
Last updated
06/11/2025
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