Individual provider · Type 1 NPI
Kourtney Lenea Waggoner, PA
Physician Assistant · Kenmore, NY
Practice location
2950 Elmwood Ave Ste A1
Kenmore, NY 14217-1304
Fax (716) 529-3071
Mailing address
3719 Union Rd Ste 218
Cheektowaga, NY 14225-4251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 023195 (NY) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
2 other providers at this address
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About NPI 1265997191
Kourtney Lenea Waggoner, PA's National Provider Identifier is 1265997191, issued on Feb 5, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenmore, NY. The record was last updated on Feb 5, 2019.