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RUSSELL KACKLEY MD
NPI 1891372553
Student in an Organized Health Care Education/Training Program in Honolulu, HI

Active since March 26, 2021
1356 LUSITANA ST FL 4, HONOLULU, HI 96813(808) 586-2904 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Mar 26, 2021 (2 updates tracked since 2021).

About Russell Kackley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL KACKLEY MD (NPI 1891372553) is an individual student in an organized health care education/training program in Honolulu, Hawaii and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1891372553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRUSSELL KACKLEYCredential: MD
Location Address1356 LUSITANA ST FL 4Honolulu, HI 96813-2409
Mailing Address1356 Lusitana St Fl 4Honolulu, HI 96813-2409
Phone(808) 586-2904
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1891372553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1356 LUSITANA ST FL 4, Honolulu, HI 96813
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NGUYEN
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
SOHEE KI MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2903
DR. RAVJOOT RANDHAWA MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
ANGELA HU MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2903
TANYA K. ZAIST DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2893
CHRISTIAN FREDERIC KRAUSE
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
SARAH GABRIEL MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
ERIC ALEXANDER KALIS
Student in an Organized Health Care Education/Training Program
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Kackley's NPI number?

The NPI number for Russell Kackley is 1891372553. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Russell Kackley located?

Russell Kackley practices at 1356 Lusitana St Fl 4, Honolulu, HI 96813. The listed phone number is (808) 586-2904.

What is Russell Kackley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Russell Kackley was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.