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W. DALE KECKLEY PA
NPI 1336126259
Physician Assistant - Surgical in Farmington, CT

Active since December 30, 2005
263 FARMINGTON AVE, GENERAL SURGERY, FARMINGTON, CT 06030(860) 679-8080(860) 679-1420 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About W. Dale Keckley Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W. DALE KECKLEY PA (NPI 1336126259) is an individual surgical provider in Farmington, Connecticut, licensed in Connecticut (001065) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1336126259
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameW. DALE KECKLEYCredential: PA
Location Address263 FARMINGTON AVE, GENERAL SURGERYFarmington, CT 06030-6227
Mailing Address263 Farmington Ave, Provider EnrollmentFarmington, CT 06030-2212 · (860) 679-7503 · Fax (860) 679-1610
Phone(860) 679-8080
Fax(860) 679-1420
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1336126259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 001065
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Other Identifiers 2

Medicaid1336126259CT
Medicare UPINP32118CT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W. Dale Keckley's NPI number?

The NPI number for W. Dale Keckley is 1336126259. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is W. Dale Keckley located?

W. Dale Keckley practices at 263 Farmington Ave General Surgery, Farmington, CT 06030. The listed phone number is (860) 679-8080.

What is W. Dale Keckley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for W. Dale Keckley was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.