Dr. Kelly Gayle Thorstad
M.D. | Pediatrics | Female
Dr. Kelly Gayle Thorstad, M.D. is a Austin, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kelly Gayle Thorstad is
12174 N Mo Pac Expy, Suite A, Austin, Texas - 78758-2910. She can be contacted on phone at
512-833-7334 and fax number 512-833-7333.
Dr. Kelly Gayle Thorstad is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kelly Gayle Thorstad is
1174508832 which was assigned by NPPES on 14 Dec, 2005 and it was last updated on 23 Jul, 2007.
Dr. Kelly Gayle Thorstad license number is
L0651 for Pediatrics (208000000X) in Texas.
Dr. Kelly Gayle Thorstad is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kelly Gayle Thorstad basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kelly Gayle Thorstad |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Kelly Gayle Thorstad address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12174 N Mo Pac Expy, Suite A
Austin, TX, 78758-2910
United States |
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| Phone Number : | 512-833-7334 |
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| Fax Number : | 512-833-7333 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174508832 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Dec, 2005 |
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| Last Updated On : | 23 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Gayle Thorstad are as mentioned. Primary taxonomy code for Dr. Kelly Gayle Thorstad, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | L0651 | TX |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 12174 N Mo Pac Expy, Suite A
Austin, TX, 78758-2910
United States |
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| Phone Number : | 512-833-7334 |
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| Fax Number : | 512-833-7333 |
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Business Location:
Patients can refer following map for directions to
Dr. Kelly Gayle Thorstad practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.