Keckley, Diane B

Keckley, Diane B is an individual health care provider with primary practice located at 1025 Silas Deane Hwy , Wethersfield CT 06109-4229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keckley, Diane B can be contacted via phone (860) 696-2400.

Contact Information

Primary practice address
1025 Silas Deane Hwy Wethersfield CT 06109-4229
Phone: (860) 696-2400
Fax: (860) 696-2410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001067 Connecticut

Profile Details

NPI number 1386621829
LBN Legal business name Keckley, Diane B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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