Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
W. DALE KECKLEY, PA
ActiveW. DALE KECKLEY, PA is a Surgical Physician Assistant healthcare provider located in FARMINGTON, Connecticut. NPI 1336126259 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FARMINGTON, CT
Registration Details
- NPI Number
- 1336126259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2005 (20.581368936391 yrs)
- Last Updated
- Sep 11, 2012
- License
-
001065 (CT)
Practice Information
- Address
-
263 FARMINGTON AVEGENERAL SURGERYFARMINGTON, CT, 060306227Browse CT providers · Browse ZIP 06030
- Phone
- 8606798080
- Fax
- 8606791420
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| ANGELA DEPERGOLA | PA-C | 1922005917 |
| DAVID KOTLER | PA | 1922006014 |
| LARA K LABARBERA | P.A. | 1932189487 |
| MS. MARTHA K GRAJEWSKI | PA-C | 1861463820 |
| MR. PAUL CHRISTOPHER POLZELLA | PA-C | 1043243330 |
| DENISE FITZGERALD | PA | 1487756557 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.