| W Dale Keckley, PA | |
|
263 Farmington Ave, General Surgery, Farmington, CT 06030-6227 | |
| (860) 679-8080 | |
| (860) 679-1420 |
| Full Name | W Dale Keckley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336126259 | NPI | - | NPPES |
| 1336126259 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 001065 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| W Dale Keckley, PA 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | W Dale Keckley, PA 263 Farmington Ave, General Surgery, Farmington, CT 06030-6227 Ph: (860) 679-8080 |
Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210 | |
Lisa Petricca, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 | |
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414 | |
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232 | |
Mrs. Heather Hansen Kurtzman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Emergency Department, Farmington, CT 06030 Phone: 860-679-2588 | |
Courtney Ann Scott, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 599 Farmington Ave Fl 2, Farmington, CT 06032 Phone: 860-837-9600 |