Waffner, Kathleen Gavigan
Waffner, Kathleen Gavigan is an sole proprietor health care provider with primary practice located at 2915 Telegraph Ave Suite 101, Berkeley CA 94705-2060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Waffner, Kathleen Gavigan can be contacted via phone (510) 843-4544.Contact Information
Primary practice address
2915 Telegraph Ave Suite 101
Berkeley CA 94705-2060
Phone: (510) 843-4544
Fax: (510) 843-3871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19079 | California |
Profile Details
| NPI number | 1205968377 |
|---|---|
| LBN Legal business name | Waffner, Kathleen Gavigan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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