| Kourtney Lenea Waggoner, PA | |
|
2950 Elmwood Ave Ste A1, Kenmore, NY 14217-1304 | |
| (716) 529-3070 | |
| (716) 529-3071 |
| Full Name | Kourtney Lenea Waggoner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2950 Elmwood Ave Ste A1, Kenmore, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265997191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 023195 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Lenea Waggoner, PA 3719 Union Rd Ste 218, Cheektowaga, NY 14225-4251 Ph: (716) 206-1503 | Kourtney Lenea Waggoner, PA 2950 Elmwood Ave Ste A1, Kenmore, NY 14217-1304 Ph: (716) 529-3070 |
Mrs. Breanne Finucane Jeffrey, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-262-4607 | |
Robert E Baker Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-447-6100 | |
Kelly E Farrell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave # A1, Kenmore, NY 14217 Phone: 716-529-3070 | |
Mr. Joseph R. Oddo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2949 Elmwood Ave, 203, Kenmore, NY 14217 Phone: 716-447-8868 | |
Jessica Elise Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-447-6100 Fax: 716-876-5079 | |
Marydonna Anderson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-447-6202 Fax: 716-447-6202 |