IndividualActive
Kristine Thayer, M.D.
NPI 1366464950 · Pediatric Surgery Physician · Huntington, WV
Provider details
- NPI number
- 1366464950
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036127325 (IL)
Practice location
1600 Medical Center Dr Ste 2500
Huntington, WV 25701-3657
Phone: (304) 691-1200
Mailing address
12232 N Ledges Dr
Roscoe, IL 61073-9612
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2023-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.