Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Gavigan Waffner, PA

Individual provider Physician Assistant · NPI 1205968377

Kathleen Gavigan Waffner, PA is a Physician Assistant in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2915 Telegraph Ave Ste 101
Berkeley, CA 94705-2060
Phone: (510) 843-4544
Fax: (510) 843-3871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19079 (CA)

Record details

NPI number1205968377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

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