Kelly Blake Cantu in Hartford - Physician Assistant
Kelly Blake Cantu - NPI 1174718738
Kelly Blake Cantu is a Physician Assistant in Hartford, Connecticut. Kelly Blake Cantu practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Blake Cantu is 1174718738. The last update date is 2020-07-01.
Kelly Blake Cantu's current location address is 80 Seymour Street, Hartford, Connecticut. You can contact this provider via phone number 8609724670. The mailing address for Kelly Blake Cantu is 80 Seymour Street, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Blake Cantu |
|---|---|
| Address | 80 Seymour Street, Hartford, Connecticut |
| Phone Number | 8609724670 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174718738 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2020-07-01 |
Provider Mailing Address Detail
| Address | 80 Seymour Street |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61025037 |
| Phone Number | 8609724670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2185 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Blake Cantu by the Centers for Medicare & Medicaid Services?
The Kelly Blake Cantu has been assigned the NPI (National Provider Identifier) 1174718738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kelly Blake Cantu is physically located?
The Kelly Blake Cantu is physically situated at the following address: 80 Seymour Street, Hartford, CT, 61025037.
What is the area of specialization for Kelly Blake Cantu, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Blake Cantu is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Kelly Blake Cantu receive its 1174718738 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Blake Cantu was assigned its 1174718738 by the Centers for Medicare & Medicaid Services on 2007-09-07.
As of what date were the details pertaining to Kelly Blake Cantu last refreshed?
The information related to the Kelly Blake Cantu, including its address, specialty, and other relevant details, was last updated on 2020-07-01.