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SUPPORTIVE MED
NPI 1740077163
Family Medicine in Russell, KY

Active since April 21, 2025
1619 DIEDERICH BLVD STE B, RUSSELL, KY 41169(606) 324-0334 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supportive Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPORTIVE MED (NPI 1740077163) is a healthcare organization registered as a family medicine in Russell, Kentucky and active in the NPI registry since April 2025. The organization lists Robert Levine, Owner, as its authorized official.

NPPES Registry Identity

NPI1740077163
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUPPORTIVE MED
Location Address1619 DIEDERICH BLVD STE BRussell, KY 41169-1779
Mailing Address250 Colvin LnRaceland, KY 41169-1286 · (606) 371-2369
Phone(606) 324-0334
Organization SubpartNo
Authorized OfficialRobert LevineOwner · (760) 636-8428
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1740077163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1619 DIEDERICH BLVD STE B, Russell, KY 41169
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supportive Med's NPI number?

The NPI number for Supportive Med is 1740077163. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Supportive Med located?

Supportive Med is located at 1619 Diederich Blvd Ste B, Russell, KY 41169. The listed phone number is (606) 324-0334.

What is Supportive Med's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Supportive Med was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.