Provider Demographics
NPI:1134752389
Name:VALASEK, KEVIN CHARLES (DC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:CHARLES
Last Name:VALASEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:KEVIN
Other - Middle Name:CHARLES
Other - Last Name:VALASEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KEVIN VALASEK DC
Mailing Address - Street 1:709 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1445
Mailing Address - Country:US
Mailing Address - Phone:724-859-1367
Mailing Address - Fax:
Practice Address - Street 1:1990 NAGLE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-2128
Practice Address - Country:US
Practice Address - Phone:814-899-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor