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Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center
Substance Use Disorder Rehabilitation Clinic/Center in Lihue, Hawaii
NPI 1013350099

Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Lihue, HI and is specialized in Rehabilitation, Substance Use Disorder. Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center practices in Lihue, HI. The NPI Number for Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center is 1013350099 and holds a License No. MD6041 (Hawaii).

The current practice location address for Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center is 4374 Kukui Grove St, Lihue, HI and can be reached out via phone at 808-246-0663 and via fax at 808-246-1806.

Location: 4374 Kukui Grove St, Lihue, HI, 96766-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013350099
Provider Name
Gerald J Mckenna M.d. Inc Dba Mckenna Recovery Center
Credential
Provider Entity Type
Organization
Address
4374 Kukui Grove St, Lihue, HI, 96766-2007
Phone Number
808-246-0663
Fax Number
808-246-1806
Provider Enumeration Date
04/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02661901 05 HI
institution
Provider Business Practice Location Address Details
Address
4374 Kukui Grove St
City
Lihue
State
Hawaii
Zip
96766-2007
Phone Number
808-246-0663
Fax Number
808-246-1806
person
Provider Business Mailing Address Details
Address
4374 Kukui Grove St
City
Lihue
State
Hawaii
Zip
96766-2007
Phone Number
808-246-0663
Fax Number
808-246-1806
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
MD6041 (Hawaii)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
MD6041 (Hawaii)
Definition
Definition to come...
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