person
Kelly Marie Knickerbocker, MSNRNPMHNP
Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, Washington
NPI 1427304138

Kelly Marie Knickerbocker is a Psychiatric/Mental Health Nurse Practitioner based in Kirkland, WA and is specialized in Psychiatric/Mental Health. Kelly Marie Knickerbocker practices in Mountlake Terrace, WA and has the professional credentials of MSNRNPMHNP. The NPI Number for Kelly Marie Knickerbocker is 1427304138 and holds a License No. AP 60448879 (Washington).

The current practice location address for Kelly Marie Knickerbocker is 23007 Lakeview Dr Unit A203, Mountlake Terrace, WA and can be reached out via phone at 425-954-3330.

Location: 23007 Lakeview Dr Unit A203, Mountlake Terrace, WA, 98034-4314
person
Provider Profile Details
NPI Number
1427304138
Provider Name
Kelly Marie Knickerbocker
Credential
MSNRNPMHNP
Provider Entity Type
Individual
Gender
Female
Address
23007 Lakeview Dr Unit A203, Mountlake Terrace, WA, 98034-4314
Phone Number
425-954-3330
Fax Number
Provider Enumeration Date
07/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710599158 01 ORGANIZATIONAL NPI 2
institution
Provider Business Practice Location Address Details
Address
23007 Lakeview Dr Unit A203
City
State
Zip
98043-2378
Phone Number
425-954-3330
Fax Number
person
Provider Business Mailing Address Details
Address
23007 Lakeview Dr Unit A203
City
State
Zip
98043-2378
Phone Number
425-954-3330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP 60448879 (Washington)
Definition
Definition to come...
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