Individual
DR. PAMELA C MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
53-3925 AKONI PULE HWY, KAPAAU, HI 96755
(808) 889-6236
(808) 889-0107
Mailing address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54673-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659433415
—
WI
01
—
E04682
CONTROLLED SUBSTANCES
HI
01
—
MD5231
STATE LICENSE
HI
Enumeration date
12/15/2006
Last updated
03/07/2023
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