Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Supportive Med

Organization Family Medicine Physician · NPI 1740077163

Supportive Med provides Family Medicine Physician services in Russell, Kentucky. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1619 Diederich Blvd Ste B
Russell, KY 41169-1779
Phone: (606) 324-0334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1740077163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Levine — Owner · (760) 636-8428
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address250 Colvin Ln, Raceland, KY 41169-1286

Other providers in Russell