Provider Demographics
NPI:1033530167
Name:VALEK, KATHERINE BALCOM (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BALCOM
Last Name:VALEK
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3433 BROADWAY ST NE STE 115
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1759
Mailing Address - Country:US
Mailing Address - Phone:651-312-1505
Mailing Address - Fax:612-248-2944
Practice Address - Street 1:6565 FRANCE AVE S
Practice Address - Street 2:SUITE 375
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2137
Practice Address - Country:US
Practice Address - Phone:651-312-1700
Practice Address - Fax:651-312-1570
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2019-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN11478363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical