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NPI Code Detail

MEDICARE: JAMES ANDREW KAGER PA

MEDICARE: JAMES ANDREW KAGER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant012374NY

General Provider Information

NPI Number : 1154508539
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ANDREW KAGER PA
Provider Business Mailing Address
First Line : PO BOX 5101
Second Line :
City : BUFFALO
State : NY
Zip : 14240-5101
Country : US
Telephone Number : 716-692-3302
Fax Number :
Provider Business Practice Location Address
First Line : 7616 TRANSIT RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-6017
Country : US
Telephone Number : 716-204-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 10/28/2024

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