Provider Profile

Kourtney L. Waggoner, PA

Unclaimed Profile

About Kourtney Waggoner

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Education & Training

School Other Graduated: 2018

Specialty

Physician Assistant (Primary)

Credentials & Licensing

NY license023195
NPI1265997191
NPI issued02/05/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kourtney L. Waggoner?

Kourtney L. Waggoner is a physician assistant in Kenmore, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kourtney L. Waggoner's address?

Kourtney L. Waggoner is listed at 2950 Elmwood Ave Ste A1, Kenmore, NY 14217. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kourtney L. Waggoner?

The number on file is (716) 529-3070. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kourtney L. Waggoner?

Kourtney L. Waggoner's National Provider Identifier is 1265997191. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kourtney L. Waggoner train?

Kourtney L. Waggoner attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kourtney L. Waggoner have?

Kourtney L. Waggoner has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Is Kourtney L. Waggoner's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kourtney L. Waggoner. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.