Provider Demographics
NPI:1871243964
Name:RUTLAND, KERRY CATHERINE (MPA)
Entity Type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:CATHERINE
Last Name:RUTLAND
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:MS
Other - First Name:KERRY
Other - Middle Name:CATHERINE
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPA
Mailing Address - Street 1:175 EATON ST
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06779-1250
Mailing Address - Country:US
Mailing Address - Phone:860-417-2521
Mailing Address - Fax:860-631-1054
Practice Address - Street 1:175 EATON ST
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:CT
Practice Address - Zip Code:06779-1250
Practice Address - Country:US
Practice Address - Phone:860-471-2521
Practice Address - Fax:860-631-1054
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach