Individual
MR. KEVIN CHRISTOPHER RUTTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
(801) 596-2515
Mailing address
PO BOX 480, OAKLEY, UT 84055-0480
(801) 647-2106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1342443501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009854101
INTERMOUNTAIN HEALTH CARE
UT
01
—
695323
DESERET MUTUAL
UT
Enumeration date
02/08/2006
Last updated
07/08/2007
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