Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALI MARIE THIBAULT, PHYSICIAN ASSISTANT
ActiveKALI MARIE THIBAULT, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LAKEWOOD, Washington. NPI 1336758432 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKEWOOD, WA
Registration Details
- NPI Number
- 1336758432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2020 (6.0505753612546 yrs)
- Last Updated
- Dec 18, 2020
- License
-
PA61073932 (WA)
Practice Information
- Address
-
11311 BRIDGEPORT WAY SW STE 309LAKEWOOD, WA, 984993078Browse WA providers · Browse ZIP 98499
- Phone
- 2539852949
- Fax
- 2539852948
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKEWOOD, WA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS WAYNE GAMMILL | PA-C | 1760459333 |
| GEORGE A PRUDDEN | PA-C | 1356310064 |
| JOSEPH D. FERENCE | PA-C | 1255387783 |
| MR. PHILLIP DARBY | PA-C | 1023037868 |
| ROBERT LEO TESTA | PA-C | 1356443923 |
| ALEX E ANGELES | PAC | 1912002031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.