Provider Demographics
NPI:1609844588
Name:MCKINLAY, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MCKINLAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 BISHOP STREET
Mailing Address - Street 2:PAUAHI TOWER SUITE 380
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3429
Mailing Address - Country:US
Mailing Address - Phone:808-528-1717
Mailing Address - Fax:808-528-1719
Practice Address - Street 1:1003 BISHOP STREET
Practice Address - Street 2:PAUAHI TOWER SUITE 380
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3429
Practice Address - Country:US
Practice Address - Phone:808-528-1717
Practice Address - Fax:808-528-1719
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD10939207N00000X
HIMD-10939207ND0101X, 207ND0900X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Not Answered207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Not Answered207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F69310Medicare UPIN