JOHN KENNETH DELKE MA, LADC
NPI 1134051543
Student in an Organized Health Care Education/Training Program in Plymouth, MN

Active since June 01, 2026
11505 36TH AVE N, PLYMOUTH, MN 55441(877) 803-1520 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Kenneth Delke Ma, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN KENNETH DELKE MA, LADC (NPI 1134051543) is an individual student in an organized health care education/training program in Plymouth, Minnesota and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1134051543
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN KENNETH DELKECredential: MA, LADC
Location Address11505 36TH AVE NPlymouth, MN 55441-2304
Mailing Address8238 Palmgren Ave NeOtsego, MN 55330-7294 · (612) 655-8902
Sole ProprietorNo
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
NPI 1134051543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11505 36TH AVE N, Plymouth, MN 55441

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
11505 36TH AVE N
PLYMOUTH, MN 55441
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Psychologist (Clinical)
11505 36TH AVE N
PLYMOUTH, MN 55441
Psychologist
11505 36TH AVE N
PLYMOUTH, MN 55441
Internal Medicine (Addiction Medicine)
11505 36TH AVE N
PLYMOUTH, MN 55441
Marriage & Family Therapist
11505 36TH AVE N
PLYMOUTH, MN 55441
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11505 36TH AVE N
PLYMOUTH, MN 55441
Psychologist (Addiction (Substance Use Disorder))
11505 36TH AVE N
PLYMOUTH, MN 55441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134051543, enumerated as an "individual" on June 01, 2026.

The provider is located at 11505 36TH AVE N PLYMOUTH, MN 55441 and the phone number is (877) 803-1520.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.