Individual
KELLY A VALASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 TECHNOLOGY DR STE 230, BUTLER, PA 16001-1784
(877) 661-3376
(724) 482-2212
Mailing address
PO BOX 1549, BUTLER, PA 16003-1549
(724) 284-4060
(724) 284-4144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055087
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032288870001
—
PA
01
—
CAQH
12295748
PA
Enumeration date
10/30/2007
Last updated
04/19/2018
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