Healthcare Provider Details

I. General information

NPI: 1609844588
Provider Name (Legal Business Name): JOSEPH MCKINLAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 BISHOP STREET PAUAHI TOWER SUITE 380
HONOLULU HI
96813-3429
US

IV. Provider business mailing address

1003 BISHOP STREET PAUAHI TOWER SUITE 380
HONOLULU HI
96813-3429
US

V. Phone/Fax

Practice location:
  • Phone: 808-528-1717
  • Fax: 808-528-1719
Mailing address:
  • Phone: 808-528-1717
  • Fax: 808-528-1719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD10939
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD-10939
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberMD-10939
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberMD-10939
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: