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1720089451

NPI Code Detail

MEDICARE: KIRK EDWARD KANADY MD

MEDICARE: KIRK EDWARD KANADY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	K1849	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00147937	OTHER	TX	RR MEDICARE PTAN FOR GRP
3	P00142763	OTHER	TX	RR MEDICARE FOR GRP PTAN
4	8499B0	OTHER	TX	MEDICARE
5	92004577	OTHER	TX	RR MEDICARE PTAN
6	P00230852	OTHER	TX	RR MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720089451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRK EDWARD KANADY MD

Provider Business Mailing Address
First Line	:	PO BOX 8397
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77387-8397
Country	:	US
Telephone Number	:	281-364-1707
Fax Number	:	281-364-0028

Provider Business Practice Location Address
First Line	:	1140A CYPRESS STATION DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3058
Country	:	US
Telephone Number	:	281-377-7555
Fax Number	:	281-248-8391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	03/30/2026

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Directions to “ KIRK EDWARD KANADY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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