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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 HospitalInferred 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