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1063897957
KITTRICK KANE
OTHELLO, WA
NPI
1063897957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA60573984)
Enumeration Date
2015-07-21
Last Update Date
2018-09-21
Business Address
KITTRICK KANE PAC
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-488-5256
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Mailing Address
KITTRICK KANE PAC
875 SWIFT BLVD STE A
RICHLAND, WA 99352-3592
Phone number: 509-942-3627
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