Individual
ALEXANDER JOHN KEKLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4A DEVINE ST, NORTH HAVEN, CT 06473-2142
(203) 287-6900
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
4925
CT
Other
Enumeration date
07/23/2020
Last updated
10/16/2024
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