Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BLAKE CANTU, PA-C
ActiveKELLY BLAKE CANTU, PA-C is a Pain Medicine (PM&R) healthcare provider located in COLUMBIA, South Carolina. NPI 1174718738 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · COLUMBIA, SC
Registration Details
- NPI Number
- 1174718738
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2007 (18.966951267805 yrs)
- Last Updated
- Oct 22, 2024
- License
-
1770252017 (SC)
Practice Information
- Address
-
2000 CENTER POINT RD STE 2360COLUMBIA, SC, 292105826Browse SC providers · Browse ZIP 29210
- Phone
- 8032335500
- Fax
- 8032586395
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Other Pain Medicine (PM&R) Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN MICHAEL TUEL | M.D. | 1487610424 |
| DR. PRANITHA REDDY NALLU | MD | 1013170646 |
| DR. VIDHATH REDDY MOKU | DO | 1730717018 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.