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

Dr. Carl Kevin Supnet, DO

Individual provider Family Medicine Physician · NPI 1639791460

Dr. Carl Kevin Supnet, DO is a Family Practice in Henderson, Nevada. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2020, 6 years ago. Practices with Dignity Health Medical Group Nevada LLC, a 124-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
6
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
NV
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

800 N Gibson Rd Ste 201
Henderson, NV 89011-1706
Phone: (702) 616-7650
Fax: (702) 616-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO3497 (NV)

Record details

NPI number1639791460
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 14, 2020
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2020 (6 years in practice)
Group practice Dignity Health Medical Group Nevada Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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