Diane B Keckley, PA
NPI #1386621829 in Wethersfield, Connecticut
Provider Information
- NPI Number
- 1386621829
- Entity Type
- Individual
- Name
- Diane B Keckley, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Jan 6, 2010
Practice Location
- Address
- 1025 SILAS DEANE HWY
- City
- Wethersfield
- State
- Connecticut
- ZIP Code
- 06109-4229
- Phone
- (860) 696-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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