=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396627592
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALOR HEALTH GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2025
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7132 COUNTY ROAD 32
-----------------------------------------------------
City | NORWICH
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13815-3317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-750-5752
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 1ST AVE SW STE A
-----------------------------------------------------
City | WATERTOWN
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57201-3507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-750-5752
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER/CEO
-----------------------------------------------------
Name | MRS. KERRI MAY MIKALUNAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 315-750-5752
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------