Kelly Blake Cantu, PA-C
Kelly Blake Cantu, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2007, 19 years ago. Practices with Active Life Health of Columbia LLC, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 19
- Licensed in
- SC
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2000 Center Point Rd Ste 2360Columbia, SC 29210-5826
Phone: (803) 233-5500
Fax: (803) 258-6395
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 1770252017 (SC) |
|---|
Record details
| NPI number | 1174718738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 7, 2007 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Active Life Health Of Columbia Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Columbia
-
Emmanuel Medical & Rehab, LLC
1812 Hampton St Ste A, Columbia, SC 29201-3580 · (864) 205-6137
-
Dr. Vidhath Reddy Moku, DO
114 Gateway Corporate Blvd, Columbia, SC 29203-9740 · (803) 365-8640
-
Dr. Pranitha Reddy Nallu, MD
14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 · (803) 296-9200
-
Southern Pain Specialists
115 Blarney Dr Ste 111, Columbia, SC 29223 · (803) 419-5345