Individual provider · Type 1 NPI

Justin Edward McKenna, PA-C

Surgical Physician Assistant · Hampton, VA

NPI number 1255623005 Active

Practice location

77 Nealy Ave
Hampton, VA 23665-2040

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110-006942 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1255623005

Justin Edward McKenna, PA-C's National Provider Identifier is 1255623005, issued on May 12, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hampton, VA. The record was last updated on Jun 12, 2025.