SUPPORTIVE MED

RUSSELL, KY
NPI1740077163
Entity TypeOrganization
Authorized ContactROBERT LEVINE
Owner
760-636-8428
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2025-04-21
Last Update Date2025-04-21
Business Address
SUPPORTIVE MED
1619 DIEDERICH BLVD STE B
RUSSELL, KY 41169-1779
Phone number: 606-324-0334
Mailing Address
SUPPORTIVE MED
250 COLVIN LN
RACELAND, KY 41169-1286
Phone number: 606-371-2369
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