Individual
KIRK EDWARD KANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140A CYPRESS STATION DR, HOUSTON, TX 77090-3058
(281) 377-7555
(281) 248-8391
Mailing address
PO BOX 8397, THE WOODLANDS, TX 77387-8397
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
K1849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303042-05
—
TX
05
—
0303042-06
—
TX
01
—
8499B0
MEDICARE
TX
01
—
92004577
RR MEDICARE PTAN
TX
01
—
P00142763
RR MEDICARE FOR GRP PTAN
TX
01
—
P00147937
RR MEDICARE PTAN FOR GRP
TX
01
—
P00230852
RR MEDICARE PTAN
TX
Enumeration date
08/03/2005
Last updated
03/30/2026
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