Individual provider · Type 1 NPI
Kelsey Ejzak Caulfield, PA
Medical Physician Assistant · Portland, CT
NPI number
1245462589
Active
Practice location
270 Main St Ste A
Portland, CT 06480-1836
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Other practice locations
- 42 Town St, Norwich, CT 06360-2316 · (860) 480-0135
- 27 William F Palmer Rd, Moodus, CT 06469-1132 · (860) 358-5220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 2312 (CT) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1245462589
Kelsey Ejzak Caulfield, PA's National Provider Identifier is 1245462589, issued on Aug 20, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, CT. The record was last updated on Jun 11, 2025.