Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supportive Med

Organization Family Medicine Physician · NPI 1740077163

Supportive Med is a Family Medicine Physician 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

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