Individual
JOHN KENNETH VALENTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4455 HIGHWAY 169 N, STE 200, PLYMOUTH, MN 55442-2897
(763) 557-9032
(763) 557-9838
Mailing address
4900 HIGHWAY 169 N STE 250, NEW HOPE, MN 55428-4019
(763) 432-0116
(763) 951-2263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F10VA
BC/BS
MN
01
—
350002738
MEDICARE ID
MN
05
—
492728100
—
MN
Enumeration date
03/03/2008
Last updated
12/22/2022
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