Provider Demographics
NPI:1124334503
Name:BAUMHOER, KIMBERLY K (HIS)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:K
Last Name:BAUMHOER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ELLIS BLVD. SUITE 202
Mailing Address - Street 2:HEARING AID CONSULTANTS
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101
Mailing Address - Country:US
Mailing Address - Phone:573-636-6061
Mailing Address - Fax:573-636-2675
Practice Address - Street 1:315 ELLIS BLVD. SUITE 202
Practice Address - Street 2:HEARING AID CONSULTANTS
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101
Practice Address - Country:US
Practice Address - Phone:573-636-6061
Practice Address - Fax:573-636-2675
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist