Provider Demographics
NPI:1235513235
Name:SCHUTTER, KIM
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:SCHUTTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 W CENTRAL AVE
Mailing Address - Street 2:SUITE 50
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1439
Mailing Address - Country:US
Mailing Address - Phone:740-362-2845
Mailing Address - Fax:740-362-3182
Practice Address - Street 1:652 W CENTRAL AVE
Practice Address - Street 2:SUITE 50
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1439
Practice Address - Country:US
Practice Address - Phone:740-362-2845
Practice Address - Fax:740-362-3182
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03213237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1821289760OtherHUGHES FAMILY HEARING AID CENTER BUSINESS NPI