Individual
KENDELL CANTRELL MATURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22580 HIGHWAY 76 E STE 300, LAURENS, SC 29360-8460
(864) 725-4673
Mailing address
7310 SAINT LUKES CHURCH RD, PROSPERITY, SC 29127-7125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.5463
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7977PA
—
SC
Enumeration date
01/08/2025
Last updated
08/29/2025
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