Individual
KERRY J CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1275 NW 128TH ST, STE 200, CLIVE, IA 50325
(734) 502-6716
(515) 225-6750
Mailing address
1275 NW 128TH ST, STE 200, CLIVE, IA 50325
(515) 224-3948
(515) 224-2944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4187
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4187
IA
207RP1001X
Pulmonary Disease Physician
Primary
4187
IA
Other
Enumeration date
02/28/2008
Last updated
03/15/2019
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