| Pioneer Health Group Llc | |
|
125 S Main Cross St Louisa KY 41230-1065 | |
| (606) 638-0938 | |
| Not Available |
| Full Name | Pioneer Health Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 125 S Main Cross St, Louisa, Kentucky |
| Authorized Official Name and Position | Victor A Orlov (SENIOR DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 6066380938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Group Llc 125 S Main Cross St Louisa KY 41230-1065 Ph: (606) 638-0938 | Pioneer Health Group Llc 125 S Main Cross St Louisa KY 41230-1065 Ph: (606) 638-0938 |
| NPI Number | 1780455774 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780455774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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