Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Rose Hetterich, AUD, CCC-A

Individual provider Audiologist · NPI 1659682276

Mrs. Kimberly Rose Hetterich, AUD, CCC-A is an Audiologist in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

251 E Oakland Ave
Port Jefferson, NY 11777-2602
Phone: (631) 928-0188
Fax: (631) 928-0185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 002295 (NY)

Record details

NPI number1659682276
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD , CCC-A
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESJuly 12, 2011

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