NPI 1538151204

Brett van Kettelhut, MD

Practitioner Allergy & Immunology Physician Omaha, NE

Practice location

Address: 2808 S 80 Ave STE 210, Omaha, NE 68124-3253
Phone: (402) 391-1800
Fax: (402) 391-1563

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 21408 (NE)

Other Allergy & Immunology providers in Nebraska →

Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X Licence 21408 (NE)

Registry record

NPI: 1538151204
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2005
Record last updated: 30 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.