| Supportive Med | |
|
1619 Diederich Blvd Ste B Russell KY 41169-1779 | |
| (606) 324-0334 | |
| Not Available |
| Full Name | Supportive Med |
|---|---|
| Speciality | Family Medicine |
| Location | 1619 Diederich Blvd Ste B, Russell, Kentucky |
| Authorized Official Name and Position | Robert Levine (OWNER) |
| Authorized Official Contact | 7606368428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Med 250 Colvin Ln Raceland KY 41169-1286 Ph: (606) 371-2369 | Supportive Med 1619 Diederich Blvd Ste B Russell KY 41169-1779 Ph: (606) 324-0334 |
| NPI Number | 1740077163 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740077163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Angela D Lewis Do Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Kenwood Dr, Russell, KY 41169 Phone: 606-836-1954 Fax: 606-836-3878 |