Individual
MR. JARROD DWAYNE KANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
696 S SCALES ST, REIDSVILLE, NC 27320-5024
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
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
05/13/2026
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