MR. Brett Van Kettelhut, M.D.

NPI #1538151204 in Omaha, Nebraska

Provider Information

NPI Number: 1538151204
Entity Type: Individual
Name: MR. Brett Van Kettelhut, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology
Credential: M.D.
Enumeration Date: Aug 18, 2005
Last Updated: Jun 30, 2011

Practice Location

Address: 2808 S 80 AVE
Address 2: STE 210
City: Omaha
State: Nebraska
ZIP Code: 68124-3253
Phone: (402) 391-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Clinical & Laboratory Immunology — Clinical & Laboratory Immunology	207KI0005X
Allergy & Immunology	207K00000X	Primary

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