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Contact Information

KELLY B CANTU, PA-C
2000 CENTER POINT RD STE 2360
COLUMBIA, SC29210-5826
 Phone: 803-233-5500
 Fax: 803-258-6395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KELLY B CANTU · (Female)

NPI # 1174718738
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/07/2007
Last updated 10/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 1770252017
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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