Kelly G Thorstad Md Pa in Austin - Pediatrics
Kelly G Thorstad Md Pa - NPI 1063638443
Kelly G Thorstad Md Pa is a Pediatrics in Austin, Texas. Kelly G Thorstad Md Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly G Thorstad Md Pa is 1063638443. The last update date is 2007-07-18.
Kelly G Thorstad Md Pa's current location address is 12120 Ranch Road 620 N, Austin, Texas. You can contact this provider via phone number 5128337334 and fax number 5128337333. The mailing address for Kelly G Thorstad Md Pa is 12120 Ranch Road 620 N, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly G Thorstad Md Pa |
|---|---|
| Address | 12120 Ranch Road 620 N, Austin, Texas |
| Phone Number | 5128337334 |
| Fax Number | 5128337333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Thorstad G Kelly |
| Credentials | MD |
| Telephone Number | 5128337334 |
NPI Number Detail
| NPI Number | 1063638443 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 12120 Ranch Road 620 N |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787501079 |
| Phone Number | 5128337334 |
| Fax Number | 5128337333 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | L0651 |
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Definition: A pediatrician 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 |
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What is the unique provider identifier assigned to Kelly G Thorstad Md Pa?
The Kelly G Thorstad Md Pa has been issued the NPI (National Provider Identifier) 1063638443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kelly G Thorstad Md Pa?
The Kelly G Thorstad Md Pa is situated at 12120 Ranch Road 620 N, in the city of Austin, state of TX, with the zip code 787501079.
What is the Kelly G Thorstad Md Pa's area of specialization and corresponding taxonomy classification?
The Kelly G Thorstad Md Pa's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did Kelly G Thorstad Md Pa receive its 1063638443 assignment from the Centers for Medicare & Medicaid Services?
The Kelly G Thorstad Md Pa was assigned its 1063638443 on 2007-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly G Thorstad Md Pa most recently updated or refreshed?
The details pertaining to the Kelly G Thorstad Md Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-18.
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