Individual
MR. BRETT KELLETT ALLAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9610 GRANITE RIDGE DR, SUITE C, SAN DIEGO, CA 92123-2684
(858) 573-0550
(858) 573-0551
Mailing address
3980 LAGO DI GRATA CIR, SAN DIEGO, CA 92130-8601
(858) 259-0553
(858) 259-0518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010241
IL
111N00000X
Chiropractor
Primary
DC166667
CA
Other
Enumeration date
11/17/2006
Last updated
02/24/2010
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