Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

W. Dale Keckley, PA

Surgical Physician Assistant in Farmington, CT · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336126259

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Registry record

Entity type Individual (Type 1)

Name W. Dale Keckley

Credential PA

Sex Male

Practice address 263 Farmington Ave, General Surgery, Farmington, CT, 06030

Phone (860) 679-8080

Fax (860) 679-1420

Enumeration date Dec 30, 2005

Last updated in NPPES Sep 11, 2012

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001065 (CT) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
1336126259	Medicaid	CT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1336126259 active?

Yes, as of the latest NPPES snapshot, NPI 1336126259 is active (record last updated 2012-09-11).

How do I verify W. Dale Keckley's NPI record?

Cross-check NPI 1336126259 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-11.