| Miss Kerry Lauren Witherell, AUD | |
|
1100 9th Ave, Seattle, WA 98101-2756 | |
| (206) 223-8802 | |
| (206) 515-5886 |
| Full Name | Miss Kerry Lauren Witherell |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1100 9th Ave, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790971695 | NPI | - | NPPES |
| 8501983 | Medicaid | WA | |
| 8719WI | Other | WA | BLUE SHIELD # |
| P00444843 | Other | WA | RAILROAD MC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | LD00004703 (Washington) | Primary |
| Provider Name | Regents Of The University Of Minnesota |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114019858 PECOS PAC ID: 7416856059 Enrollment ID: O20040102000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kerry Lauren Witherell, AUD 1100 9th Ave, Ms M4-pa, Seattle, WA 98101-2756 Ph: (206) 583-6025 | Miss Kerry Lauren Witherell, AUD 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-8802 |
Denise Suzanne Welch, L.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1600 E John St, Seattle, WA 98112 Phone: 425-330-3440 | |
Debra Sue Johnson, MA Audiologist Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Box 356515, Seattle, WA 98195 Phone: 206-543-5230 | |
Dr. Pamela E Souza, PHD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-764-2404 | |
Uw Speech & Hearing Clinic Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4131 15th Ave. Ne, Seattle, WA 98105 Phone: 206-543-5440 Fax: 206-616-1185 | |
Ms. Sami Alexandra O'neill, M.A. CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Audio-126, Seattle, WA 98108 Phone: 206-764-2499 Fax: 206-764-2672 | |
Laura K Comer, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Jody Beth Smith, AU.D. CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-625-7373 Fax: 206-223-2388 |