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

Kali Marie Thibault, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1336758432

Kali Marie Thibault, PHYSICIANASSISTANT is a Physician Assistant in Lakewood, Washington. Qualified in 2020, 6 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020

Practice location Address checks out

11311 Bridgeport Way SW Ste 309
Lakewood, WA 98499-3078
Phone: (253) 985-2949
Fax: (253) 985-2948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61073932 (WA)

Record details

NPI number1336758432
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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