W. Dale Keckley is a Surgical in Farmington, Connecticut. W. Dale Keckley practices all healthcare services and medical treatments related to Surgical. The NPI Number for W. Dale Keckley is 1336126259. The last update date is 2012-09-11.
W. Dale Keckley's current location address is 263 Farmington Ave, Farmington, Connecticut. You can contact this provider via phone number 8606798080 and fax number 8606791420. The mailing address for W. Dale Keckley is 263 Farmington Ave, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W. Dale Keckley |
|---|---|
| Address | 263 Farmington Ave, Farmington, Connecticut |
| Phone Number | 8606798080 |
| Fax Number | 8606791420 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1336126259 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 263 Farmington Ave |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60306227 |
| Phone Number | 8606798080 |
| Fax Number | 8606791420 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1065 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336126259 | CT | -- |
Post Comment/ Review Below
What is the W. Dale Keckley's unique identification number?
The W. Dale Keckley has been assigned the NPI (National Provider Identifier) Number 1336126259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where W. Dale Keckley's facilities are situated?
The facilities of W. Dale Keckley are physically located at the following address: 263 Farmington Ave, Farmington, CT, 60306227.
What is W. Dale Keckley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The W. Dale Keckley's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the W. Dale Keckley receive its 1336126259 assignment from the Centers for Medicare & Medicaid Services?
The W. Dale Keckley was assigned its 1336126259 by the Centers for Medicare & Medicaid Services on 2005-12-30.
As of what date were the W. Dale Keckley's details last updated?
The information pertaining to the W. Dale Keckley, including its address, specialty, and other details, was most recently updated on 2012-09-11.