Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY GAYLE THORSTAD, M.D.

Active Sole Proprietor

DR. KELLY GAYLE THORSTAD, M.D. is a Pediatrics healthcare provider located in AUSTIN, Texas. NPI 1174508832 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · AUSTIN, TX

Registration Details

NPI Number: 1174508832
Provider Type: Individual
Gender: Female
NPI Issued: Dec 14, 2005 (20.627553929611 yrs)
Last Updated: Jul 23, 2007
License: L0651 (TX)
Sole Proprietor: Yes

Practice Information

Address: 12174 N MO PAC EXPY

SUITE A

AUSTIN, TX, 787582910
Browse TX providers · Browse ZIP 78758
Phone: 5128337334
Fax: 5128337333
Primary Specialty: Pediatrics
208000000X

Other Pediatrics Providers in AUSTIN, TX

Name	Credential	NPI
DR. CATHLEEN M. HAVEMANN	M.D.	1932102175
DR. LAUREN KACIR	M.D.	1427052174
DR. MERRICK JAMES MCMAINS	M.D.	1518964014
DR. GLENN GORDON WOOD	M.D.	1346247749
DR. LESLIE L WELLS	M.D.	1528067907
HEIDI W BUSCEME	MD	1851391759

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.