Justin Edward Mckenna, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Hampton, VA

NPI

1255623005

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

0110-006942 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2011-05-12

Last updated

2025-06-12