# KAITLYN NICOLE RUTTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043792690
- **Gender:** F
- **Credential:** RBT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374700000X | Technician | RBT-18-63620 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2018
- **Last updated:** 08/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RBT-18-63620 | BACB | KY |