Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell Kackley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891372553

Russell Kackley, MD is a Student in an Organized Health Care Education/Training Program in Honolulu, Hawaii. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1356 Lusitana St Fl 4
Honolulu, HI 96813-2409
Phone: (808) 586-2904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891372553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address1356 Lusitana St Fl 4, Honolulu, HI 96813-2409

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