Whalio Doctors

NPI 1013350099

Gerald J McKenna M.D. INC Dba McKenna Recovery Center

Organisation Substance Use Disorder Rehabilitation Clinic/Center Lihue, HI

Practice location

Address
4374 Kukui Grove St STE 104, Lihue, HI 96766-2007
Phone
(808) 246-0663
Fax
(808) 246-1806

Authorised official

Name
Gerald James McKenna
Title
Ceo/Medical Director
Phone
(808) 246-0663

Registered specialties (2)

Substance Use Disorder Rehabilitation Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence MD6041 (HI)
Addiction Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X Licence MD6041 (HI)

Registry record

NPI
1013350099
Entity type
Organization
NPI issued
9 Apr 2013
Record last updated
2 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.