Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly G Thorstad MD PA

Organization Pediatrics Physician · NPI 1063638443

Kelly G Thorstad MD PA provides Pediatrics Physician services in Austin, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12120 Ranch Road 620 N
Austin, TX 78750-1079 Not confirmed with CMS for 19 years — call before visiting
Phone: (512) 833-7334
Fax: (512) 833-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence L0651 (TX)

Record details

NPI number1063638443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Thorstad — Physician Owner · (512) 833-7334
Other names Lone Star Pediatrics
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 18, 2007
Mailing address12120 Ranch Road 620 N, Austin, TX 78750-1079

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