SearchNew YorkPhysician Assistant

Kourtney Waggoner, PA

NPI 1265997191 · on the registry since 2019

Practice

Address
2950 Elmwood Ave Ste A1
Kenmore, NY 14217
Phone
(716) 529-3070
Fax
(716) 529-3071
Organisation at this address
Andrew Y Soh, M.D.
Gebhard Medical Llc
George C Kalonaros Md
Kenmore Mercy Hospital
Kenmore Mercy Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York