Ke Ala Pono Recovery Center

LBN: Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center
Ke Ala Pono Recovery Center is an health care organization with primary practice located at 4374 Kukui Grove St Ste 104, Lihue HI 96766-2007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center can be contacted via phone (808) 246-0663, or through Mckenna, Gerald James via phone (808) 246-0663.

Contact Information

Primary practice address
4374 Kukui Grove St Ste 104 Lihue HI 96766-2007
Phone: (808) 246-0663
Fax: (808) 246-1806
Website:
Map and Directions
Authorized official contact:
Name: Mckenna, Gerald James Doctor of Medicine (MD)
Phone: (808) 246-0663

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MD6041 Hawaii
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X MD6041 Hawaii

Profile Details

NPI number 1013350099
LBN Legal business name Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center
DBA Doing business as Ke Ala Pono Recovery Center
Authorized official Mckenna, Gerald James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2013
Last updated Sep 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013350099 NPPES
Hawaii MEDICAID 02661901

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