Brett V Kettelhut (NPI# 1538151204, PAC ID# 3779509468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1538151204 |
| PAC ID by PECOS | 3779509468 |
| Professional Enrollment ID | I20051021000412 |
| Full Name | Brett V Kettelhut |
| Organization Legal Name | ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES PC |
| Address |
3434 W Broadway Council Bluffs IA 51501-3291 |
| Phone Number | 7123250023 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 4385610013 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161366 | SHENANDOAH MEDICAL CENTER |
| 280077 | FREMONT HEALTH |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3434 W Broadway, Council Bluffs, IA 51501-3291 | 7123250023 | ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES PC |
| 2808 S 80th Ave, Suite 210, Omaha, NE 68124-3253 | 4023911800 | ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES PC |
| Organization Legal Name | ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger H Kobayashi | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 2808 S 80th Ave, Suite 210, Omaha, NE 68124-3253 |
| Dara M Schroeder | Physician Assistant | Allergy Asthma and Immunology Associates PC | 2808 S 80th Ave, Suite 210, Omaha, NE 68124-3253 |
| Michael J Sullivan Iii | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| Vinay Mehta | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 2808 S 80th Ave, Suite 210, Omaha, NE 68124-3253 |
| Kirk A Kinberg | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| James L Friedlander | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Lindsay R Groff | Physician Assistant | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| Petra Susanna Jonsson Razdan | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| Angela Lynn Moser | Physician Assistant | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| Ashley A Johnson | Physician Assistant | Allergy Asthma and Immunology Associates PC | 600 N Cotner Blvd, Suite 208, Lincoln, NE 68505-2343 |
| Street Address |
3434 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip | 51501-3291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie L Bolte | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James L Friedlander | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| John D Horgan | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Amandeep S Mahal | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Euclid Rajkumar Joseph Desouza | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Bruce E Lundak | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James M Tracy | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Joseph Matthew Wanzek Iii | Family Practice | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Curtis Schanuth | Chiropractic | 1720 N 16th St, Suite G, Council Bluffs, IA 51501-0109 | |
| Sharon A Heckathorn | Clinical Social Worker | Heartland Family Service | 1515 Ave J, Council Bluffs, IA 51501-1170 |
| Barry James Jose | Optometry | Family Eyecare Center, Inc. | 1601 Ave D, Council Bluffs, IA 51501-2510 |
| Travis John Alger | Chiropractic | 3424 W Broadway, Council Bluffs, IA 51501-3211 | |
| Wendy M Johnson | Physician Assistant | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Matthew F Fryzek | Internal Medicine | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Sara Lynn Rygol | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Joyce E Vacek | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Marcy L French | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Terry Thomas Butkus | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Find all physicians in zip 51501 | |||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | COUNCIL BLUFFS + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Brett V Kettelhut.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.