Individual provider · Type 1 NPI

Richard K. Waggoner, P.A.-C

Physician Assistant · Grand Island, NE

NPI number 1386698835 Active

Practice location

2116 W Faidley Ave, Ste 400
Grand Island, NE 68803-4671

Call (308) 381-0162 Map

Fax (308) 389-4445

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X342000 (NE)

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…

29 other providers at this address

Other physician assistant providers in Grand Island

See all in Grand Island →

About NPI 1386698835

Richard K. Waggoner, P.A.-C's National Provider Identifier is 1386698835, issued on May 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Island, NE. The record was last updated on Jul 13, 2026.