# LARRY KEITH CANTLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457336893
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 24230 | NC | Yes |

## Other

- **Enumeration date:** 12/08/2005
- **Last updated:** 06/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1001 | PARTNERS | NC |
| 01 | — | 127FN | BLUE CROSS | NC |
| 05 | — | 3002077000 | — | WV |
| 01 | — | 4098171 | AETNA | NC |
| 05 | — | 5850215 | — | VA |
| 05 | — | 89127FN | — | NC |
| 01 | — | A0333 | MEDCOST | NC |
| 05 | — | Q24230 | — | SC |