Organization
PIONEER HEALTH GROUP LLC
Active
Parent organization
PIONEER HEALTH GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIONEER HEALTH GROUP, LLC
Authorized official
VICTOR A ORLOV (DIRECTOR OF CREDENTIALING)
(606) 638-0938
Entity
Organization
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(859) 813-5394
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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