Individual
KIMBERLY S. THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
441 N LAKEVIEW AVE, MEDICAL STAFF OFFICE, KAISER FOUNDATION HOSPITAL, ANAHEIM, CA 92807-3028
(714) 279-4000
Mailing address
441 N LAKEVIEW AVE, MEDICAL STAFF OFFICE, KAISER FOUNDATION HOSPITAL, ANAHEIM, CA 92807-3028
(714) 279-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
4301516062
MI
208800000X
Urology Physician
Primary
A60138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A601380
—
CA
Enumeration date
10/31/2006
Last updated
01/30/2026
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