Individual provider · Type 1 NPI

Kristine Jane Thayer, MD

Pediatric Surgery Physician · Huntington, WV

NPI number 1366464950 Active

Practice location

1600 Medical Center Dr Ste 2500
Huntington, WV 25701-3657

Mailing address

12232 N Ledges Dr
Roscoe, IL 61073-9612

Other practice locations

  • 400 N 9th Street Suite 2400, Springfield, IL 62769-3600 · (217) 757-6535
  • 2350 N Rockton Ave, Pediatric Surgery, Rockford, IL 61103-3600 · (815) 971-7255

Specialties and licenses

TaxonomyCodeLicense
Pediatric Orthopaedic Surgery Physician 207XP3100X036127325 (IL)
Pediatric Surgery Physician 2086S0120X49252 (CO)
Pediatric Surgery Physician 2086S0120X77958 (MT)
Pediatric Surgery Physician 2086S0120XME 72169 (FL)
Pediatric Surgery Physician 2086S0120X25MA05751800 (NJ)
Pediatric Surgery Physician 2086S0120X036127325 (IL)
Pediatric Surgery Physician 2086S0120X35-097350 (OH)
Pediatric Surgery Physician 2086S0120X016753 (ME)
Pediatric Surgery Physician 2086S0120X246981 (NY)
Pediatric Surgery Physician 2086S0120X28316 (OK)
Pediatric Surgery Physician Primary 2086S0120X31075 (WV)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

9 other providers at this address

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About NPI 1366464950

Kristine Jane Thayer, MD's National Provider Identifier is 1366464950, issued on Jul 24, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Huntington, WV. The record was last updated on Jan 6, 2023.