Individual
MISS KERRY LAUREN WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-8802
(206) 515-5886
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00004703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8501983
—
WA
01
—
8719WI
BLUE SHIELD #
WA
01
—
P00444843
RAILROAD MC #
WA
Enumeration date
09/24/2007
Last updated
05/18/2008
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