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Contact Information

BRETT V KETTELHUT, MD
2808 S 80 AVE
STE 210
OMAHA, NE68124-3253
 Phone: 402-391-1800
 Fax: 402-391-1563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for BRETT V KETTELHUT · (Male)

NPI # 1538151204
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2005
Last updated 06/30/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 21408
  • NE Medicaid 47060801504
  • NE Medicaid 47060801514
Hospital affiliation(s)
  • FREMONT AREA MEDICAL CENTER - (Acute Care)
    450 EAST 23RD ST
    FREMONT, NE 68025
  • SHENANDOAH MEDICAL CENTER - (Critical Access)
    300 PERSHING AVENUE
    SHENANDOAH, IA 51601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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