RUSSEL T MCKENNA (DO) – Pediatrics Physician, NPI 1184633711

RUSSEL T MCKENNA (DO) is a healthcare provider. based in Logan, Utah. specializing in Pediatrics Physician. They hold the professional credentials DO. They hold a License No. 2851791204 (UT). The NPI Number for RUSSEL T MCKENNA (DO) is 1184633711

Main info

Male
Name
RUSSEL T MCKENNA (DO)
NPI
1184633711
Phone
(435) 750-5599
Address
1325 N 600 E STE 101
Enumeration Date
5 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSEL T MCKENNA (DO)

  • North 600 East, Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 84341

    Phone: (435) 750-5599

    Fax: (435) 750-0861

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Corium, LLC ($45).

Total Amount

$305

General + Research + Ownership

Payments

17

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84341)

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Reviews

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Frequently asked questions

What is RUSSEL T MCKENNA (DO)'s NPI number?
RUSSEL T MCKENNA (DO)'s NPI is 1184633711 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to RUSSEL T MCKENNA (DO)?
You should see RUSSEL T MCKENNA (DO) as active in CMS-hosted NPPES data.
What area of care is associated with RUSSEL T MCKENNA (DO)?
RUSSEL T MCKENNA (DO)'s record emphasizes Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RUSSEL T MCKENNA (DO)?
Travel planning: use Logan, Utah as the reference point for RUSSEL T MCKENNA (DO), then confirm.
When was this NPI issued?
Enumeration for RUSSEL T MCKENNA (DO) is noted as August 5, 2006 where the registry provides it.

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