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

Kittrick Kane, PAC

Individual provider Medical Physician Assistant · NPI 1063897957

Kittrick Kane, PAC is a Physician Assistant in Othello, Washington. Graduated from Rutgers New Jersey Medical School in 2015, 11 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Trained at
Rutgers New Jersey Medical School
Licensed in
WA
In the registry since
2015
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

140 E Main St
Othello, WA 99344-1040
Phone: (509) 488-5256
Fax: (509) 488-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60573984 (WA)

Record details

NPI number1063897957
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESSeptember 21, 2018
Mailing address875 Swift Blvd, Ste A, Richland, WA 99352-3592

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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