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

John L Kittredge, PA

Individual provider Physician Assistant · NPI 1750316196

John L Kittredge, PA is a Physician Assistant in Mishawaka, Indiana. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3474
Phone: (574) 252-4150
Fax: (574) 252-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001621 (MI)

Record details

NPI number1750316196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESNovember 5, 2009

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