Individual
DR. KRISTY TYLER THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 425, HARTFORD, CT 06106-5501
(860) 548-7336
(860) 524-2651
Mailing address
85 SEYMOUR ST, SUITE 425, HARTFORD, CT 06106-5501
(860) 548-7336
(860) 524-2651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
051838
CT
208C00000X
Colon & Rectal Surgery Physician
Primary
051838
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045810
—
CT
01
—
051838
CTCARE
CT
01
—
1396915153
ANTHEM
CT
Enumeration date
03/08/2008
Last updated
11/22/2013
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