Individual
ANDREW KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1078 W MAIN ST, WATERBURY, CT 06708-2651
(203) 757-1585
(203) 757-0300
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
62654
CT
207N00000X
Dermatology Physician
Primary
ME148242
FL
207ND0101X
MOHS-Micrographic Surgery Physician
62654
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN421
MEDICARE
FL
Enumeration date
03/26/2015
Last updated
02/09/2026
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