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Individual

JUSTIN EDWARD MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-6494
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-6494

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-006942
VA

Other

Enumeration date
05/12/2011
Last updated
06/12/2025
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