KELLY CANADY
NPI 1902328578
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Q: What is Kelly Canady's NPI number?

The NPI number for Kelly Canady is 1902328578. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Q: What is Kelly Canady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Canady was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2017

1100 N. D ST., SAN BERNARDINO, CA 92410(909) 381-3774 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Canady NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CANADY (NPI 1902328578) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1902328578

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY CANADY

Location Address1100 N. D ST.San Bernardino, CA 92410

Mailing Address1100 N D StSan Bernardino, CA 92410-3524

Phone(909) 381-3774

Sole ProprietorYes

Enumeration DateJuly 14, 2017

✔ NPI 1902328578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

1100 N. D ST., San Bernardino, CA 92410

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Canady's NPI number?

The NPI number for Kelly Canady is 1902328578. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Kelly Canady located?

Kelly Canady practices at 1100 N. D St., San Bernardino, CA 92410. The listed phone number is (909) 381-3774.

What is Kelly Canady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Canady was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.