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Contact Information

KERRY J CANADY, DO
1275 NW 128TH ST
STE 200
CLIVE, IA50325
 Phone: 734-502-6716
 Fax: 515-225-6750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KERRY J CANADY · (Female)

NPI # 1225207749
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/28/2008
Last updated 03/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 4187
Hospital affiliation(s)
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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