Cantrell, Kristin Lee

Cantrell, Kristin Lee is an individual health care provider with primary practice located at 10630 Clemson Blvd Ste 100 , Seneca SC 29678-4545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cantrell, Kristin Lee can be contacted via phone (864) 482-6000.

Contact Information

Primary practice address
10630 Clemson Blvd Ste 100 Seneca SC 29678-4545
Phone: (864) 482-6000
Fax: (864) 482-7000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 357 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA357 South Carolina

Profile Details

NPI number 1659332658
LBN Legal business name Cantrell, Kristin Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659332658 NPPES
South Carolina MEDICAID 2212PA

Popular Providers