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General NPI Number Information
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NPI Number | 1780001966
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Entity Type | Individual
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Provider Name | DR. CHRISTOPHER RUSSELL KANNADY
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 4615 SOUTHWEST FWY STE 1000
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City | HOUSTON
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State | TX
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Zip | 77027-7108
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Country | US
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Telephone | 346-250-5680
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Fax | 346-610-9690
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Provider Business Mailing Address
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Address Line | PO BOX 58538
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City | WEBSTER
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State | TX
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Zip | 77598-8538
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Country | US
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Telephone | 346-250-5680
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Fax | 346-610-9690
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R9506
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License Number State | TX
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