Kelly Blake Cantu, PA-C - Physical Medicine & Rehabilitation in Columbia, SC

Kelly Blake Cantu, PA-C is a Physical Medicine & Rehabilitation - Pain Medicine physician based in Columbia, South Carolina. Kelly Blake Cantu is licensed to practice in South Carolina (license number 1770252017) and her current practice location is 2000 Center Point Rd Ste 2360, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 233-5500.

NPI number for Kelly Blake Cantu is 1174718738 and her current mailing address is 2000 Center Point Rd Ste 2360, Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174718738.

Contact Information

Kelly Blake Cantu, PA-C
2000 Center Point Rd Ste 2360,
Columbia, SC 29210-5826
(803) 233-5500
(803) 258-6395

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Physician's Profile

Full NameKelly Blake Cantu
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location2000 Center Point Rd Ste 2360, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174718738
  • Provider Enumeration Date: 09/07/2007
  • Last Update Date: 10/22/2024

Medical Identifiers

Medical identifiers for Kelly Blake Cantu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174718738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 1770252017 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Blake Cantu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Blake Cantu, PA-C
2000 Center Point Rd Ste 2360,
Columbia, SC 29210-5826

Ph: (803) 233-5500
Kelly Blake Cantu, PA-C
2000 Center Point Rd Ste 2360,
Columbia, SC 29210-5826

Ph: (803) 233-5500

Reviews and Comments


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