person
W. Dale Keckley, PA
Surgical Physician Assistant in Farmington, Connecticut
NPI 1336126259

W. Dale Keckley is a Surgical Physician Assistant based in Farmington, CT and is specialized in Surgical. W. Dale Keckley practices in Farmington, CT and has the professional credentials of PA. The NPI Number for W. Dale Keckley is 1336126259 and holds a License No. 001065 (Connecticut).

The current practice location address for W. Dale Keckley is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-8080 and via fax at 860-679-1420.

Location: 263 Farmington Ave, Farmington, CT, 06030-2212
person
Provider Profile Details
NPI Number
1336126259
Provider Name
W. Dale Keckley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06030-2212
Phone Number
860-679-8080
Fax Number
860-679-1420
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336126259 05 CT
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
State
Zip
06030-6227
Phone Number
860-679-8080
Fax Number
860-679-1420
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
State
Zip
06030-6227
Phone Number
860-679-8080
Fax Number
860-679-1420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
001065 (Connecticut)
Definition
Definition to come...
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