Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSEL T MCKENNA, DO
ActiveRUSSEL T MCKENNA, DO is a Pediatrics healthcare provider located in LOGAN, Utah. NPI 1184633711 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LOGAN, UT
Registration Details
- NPI Number
- 1184633711
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (19.980975146901 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2851791204 (UT)
Practice Information
- Address
-
1325 N 600 E STE 101LOGAN, UT, 84341Browse UT providers · Browse ZIP 84341
- Phone
- 4357505599
- Fax
- 4357500861
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| NORDELL T BROWN | MD | 1144234659 |
| TIMOTHY M ANDERSON | MD | 1699789222 |
| DERREL W CLARKE | MD | 1902812829 |
| BRUCE A O'VERY | MD | 1225047996 |
| PRAFULLA MARTIN-GARG | MD, FAAP | 1437168721 |
| JOHN DENNIS ODELL | MD | 1477563864 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.