Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey S Brennan

Individual provider Physician Assistant · NPI 1114606399

Kelsey S Brennan is a Physician Assistant in Wolcott, Connecticut. Qualified in 2023, 3 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

464 Wolcott Rd
Wolcott, CT 06716-2626
Phone: (203) 879-6171
Fax: (203) 879-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 65 Broadway Ste 1800, New York, NY 10006-2549 — (212) 283-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030825 (NY)

Record details

NPI number1114606399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address464 Wolcott Rd, Wolcott, CT 06716-2626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wolcott