Kelly Blake Cantu is a Medical in Hartford, Connecticut. Kelly Blake Cantu practices all healthcare services and medical treatments related to Medical. 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 |
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Address | 80 Seymour Street, Hartford, Connecticut |
Phone Number | 8609724670 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1174718738 |
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Provider Enumeration Date | 2007-09-07 |
Last Updated Date | 2020-07-01 |
Provider Mailing Address Detail
Address | 80 Seymour Street |
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City | Hartford |
State | Connecticut (CT) |
Post Code | 61025037 |
Phone Number | 8609724670 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 2185 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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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 Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
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.