Individual
DR. DEBORAH A KEIGHTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Mailing address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035614
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001356147
—
CT
01
—
1902882442
NPI
CT
Enumeration date
12/16/2005
Last updated
05/14/2010
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