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Individual
MR. JARROD DWAYNE KANADY
Active
Individual
MR. JARROD DWAYNE KANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194534
NC
363LF0000X
Family Nurse Practitioner
0024177401
VA
363LF0000X
Family Nurse Practitioner
Primary
194534
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5004634
NC
Other
Enumeration date
01/27/2010
Last updated
09/09/2026
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