| Kendell Cantrell Mature, PA-C | |
|
22580 Highway 76 E Ste 300, Laurens, SC 29360-8460 | |
| (864) 725-4673 | |
| Not Available |
| Full Name | Kendell Cantrell Mature |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 22580 Highway 76 E Ste 300, Laurens, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508676099 | NPI | - | NPPES |
| 7977PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MPA.5463 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kendell Cantrell Mature, PA-C 7310 Saint Lukes Church Rd, Prosperity, SC 29127-7125 Ph: () - | Kendell Cantrell Mature, PA-C 22580 Highway 76 E Ste 300, Laurens, SC 29360-8460 Ph: (864) 725-4673 |
Stephanie Erin Leonard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 443-813-1639 | |
Jenna Michelle Schreiner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 | |
Nicholas Kent Petrus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22580 Highway 76 E, Laurens, SC 29360 Phone: 864-939-1070 |