Individual provider · Type 1 NPI

W. Dale Keckley, PA

Surgical Physician Assistant · Farmington, CT

NPI number 1336126259 Active

Practice location

263 Farmington Ave, General Surgery
Farmington, CT 06030-6227

Call (860) 679-8080 Map

Fax (860) 679-1420

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001065 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1336126259

W. Dale Keckley, PA's National Provider Identifier is 1336126259, issued on Dec 30, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Farmington, CT. The record was last updated on Sep 11, 2012.