Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

W. Dale Keckley, PA

Individual provider Surgical Physician Assistant · NPI 1336126259

W. Dale Keckley, PA is a Surgical Physician Assistant in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

263 Farmington Ave General Surgery
Farmington, CT 06030-6227
Phone: (860) 679-8080
Fax: (860) 679-1420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001065 (CT)

Record details

NPI number1336126259
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESSeptember 11, 2012

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