Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KITTRICK KANE, PAC
ActiveKITTRICK KANE, PAC is a Medical Physician Assistant healthcare provider located in OTHELLO, Washington. NPI 1063897957 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OTHELLO, WA
Registration Details
- NPI Number
- 1063897957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2015 (10.922371844775 yrs)
- Last Updated
- Sep 21, 2018
- License
-
PA60573984 (WA)
Practice Information
- Address
-
140 E MAIN STOTHELLO, WA, 993441040Browse WA providers · Browse ZIP 99344
- Phone
- 5094885256
- Fax
- 5094889939
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in OTHELLO, WA
| Name | Credential | NPI |
|---|---|---|
| LUIS CARLOS ALCALDE | PHYSICIAN ASSISTANT | 1376521229 |
| MR. JOHN SAWYER EDWARDS III | PA-C | 1942261219 |
| MATTHEW M WALKER | PAC | 1508299124 |
| ANNIE M CORONADO | PA | 1154757359 |
| RAUL MENDOZA | PA-C | 1760805568 |
| SELEMANI E WAMBUZI | PA-C | 1659921302 |
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.