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SUPPORTIVE MED

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Company Details

Name: SUPPORTIVE MED
Legal type: General Partnership Assumed Name
Status: Inactive
File Date: 21 Dec 2016 (9 years ago)
Authority Date: 21 Dec 2016 (9 years ago)
Organization Number: 0971150
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 1224 HOOD'S CREEK PIKE, ASHLAND, KY 41101
Place of Formation: KENTUCKY

Partner

Name Role
JERI JONES Partner
JAMES DUKE Partner

National Provider Identifier

NPI Number:
1740077163
Certification Date:
2025-04-21

Authorized Person:

Name:
ROBERT LEVINE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Certificate of Withdrawal of Assumed Name 2016-12-28
Certificate of Assumed Name 2016-12-21

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Sources: Kentucky Secretary of State