Individual provider · Type 1 NPI

Diane B. Keckley, PA

Physician Assistant · Wethersfield, CT

NPI number 1386621829 Active

Practice location

1025 Silas Deane Hwy
Wethersfield, CT 06109-4229

Call (860) 696-2400 Map

Fax (860) 696-2410

Mailing address

PO Box 1086, Hartford Medical Group
Wilbraham, MA 01095-1086

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001067 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386621829

Diane B. Keckley, PA's National Provider Identifier is 1386621829, issued on Dec 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wethersfield, CT. The record was last updated on Jan 6, 2010.