Individual
KRISTIN WILSON RUTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4400
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49500
TN
208M00000X
Hospitalist Physician
Primary
49500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6009989
BLUE CROSS-BLUE SHIELD
TN
01
—
P01305878
RR MEDICARE
TN
05
—
Q005819
—
TN
Enumeration date
04/23/2007
Last updated
03/21/2022
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