Diane B Keckley, PA
Physician Assistant in Wethersfield, Connecticut
1386621829- Practice location
- 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229
- Phone
- 860-696-2400
- Fax
- 860-696-2410
- Last updated
- January 6, 2010
Diane B Keckley is a Physician Assistant based in Wethersfield, CT. Diane B Keckley practices in Wethersfield, CT and has the professional credentials of PA. The NPI Number for Diane B Keckley is 1386621829 and holds a License No. 001067 (CT). The current practice location address for Diane B Keckley is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 and can be reached out via phone at 860-696-2400 and via fax at 860-696-2410.
Provider Profile Details
- NPI Number
- 1386621829
- Provider Name
- Diane B Keckley
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229
- Phone Number
- 860-696-2400
- Fax Number
- 860-696-2410
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2005
- Last Update Date
- January 6, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1025 Silas Deane Hwy
Wethersfield, CT 06109-4229 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4229
- Phone Number
- 860-696-2400
- Fax Number
- 860-696-2410
Provider Business Mailing Address Details
- Address
- Po Box 1086
Hartford Medical Group
Wilbraham, MA 01095-1086 - City
- Wilbraham
- State
- MA
- Zip
- 01095-1086
- Phone Number
- 508-595-0531
- Fax Number
- 508-829-5367
License Information
- License Number
- 001067
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Diane B Keckley, PA?
The NPI number of Diane B Keckley, PA is 1386621829. It was assigned on December 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Diane B Keckley, PA?
Diane B Keckley, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001067.
Where does Diane B Keckley, PA practice?
The practice location is 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229. The office can be reached at 860-696-2400 (phone) or 860-696-2410 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386621829 directly on the NPPES registry website.