| Kendra K Watts, AUD | |
| 
					720 N Bond St, Springfield, IL 62702-4952  | |
| (217) 545-8000 | |
| (217) 545-6544 | 
| Full Name | Kendra K Watts | 
|---|---|
| Gender | Female | 
| Speciality | Audiologist | 
| Location | 720 N Bond St, Springfield, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629059472 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231H00000X | Audiologist | 147000990 (Illinois) | Primary | 
| Provider Name | Siu Physicians & Surgeons Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kendra K Watts, AUD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000  | Kendra K Watts, AUD 720 N Bond St, Springfield, IL 62702-4952 Ph: (217) 545-8000  | 
Jennifer Louise Berry, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 5b, Springfield, IL 62701 Phone: 217-545-6099 Fax: 217-545-7386  | |
Victoria L Blount, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St # 5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253  | |
Abby Lynne Wright, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 4000 Westgate Drive, Springfield, IL 62711 Phone: 217-726-6101 Fax: 217-726-6103  | |
Christine M. Bitzer,  Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541  | |
Valerie A Ray, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 5b, Springfield, IL 62701 Phone: 217-545-6099 Fax: 217-545-0253  | |
Michael R. Larson,  Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541  | |
Cassandra J Maillet, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541  |