W. DALE KECKLEY, PA

Physician Assistant - Surgical

Active Individual
NPI: 1336126259

Practice Address

263 FARMINGTON AVE
GENERAL SURGERY
Farmington, CT 06030

Phone: (860) 679-8080

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes 001065 (CT)

Frequently Asked Questions

NPI 1336126259 is the National Provider Identifier for W. DALE KECKLEY, PA, a Physician Assistant - Surgical provider located in Farmington, CT. This NPI was enumerated on December 30, 2005.
W. DALE KECKLEY, PA practices at 263 FARMINGTON AVE, GENERAL SURGERY, Farmington, CT 06030.

Quick Facts

NPI
1336126259
Type
Individual
Enumerated
Dec 30, 2005
Last Updated
Sep 11, 2012

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