Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dericka Canada

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104120781

Dericka Canada is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

914 E Broadway
Louisville, KY 40204-1037
Phone: (502) 589-8600
Fax: (502) 589-8771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104120781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2010
Last updated in NPPESDecember 22, 2010

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