institution
Kelly Knickerbocker Arnp Pllc
Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, Washington
NPI 1710599758

Kelly Knickerbocker Arnp Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Shoreline, WA and is specialized in Psychiatric/Mental Health. Kelly Knickerbocker Arnp Pllc practices in Mountlake Terrace, WA. The NPI Number for Kelly Knickerbocker Arnp Pllc is 1710599758 and holds a License No. (Washington).

The current practice location address for Kelly Knickerbocker Arnp Pllc is 23007 Lakeview Drive, Mountlake Terrace, WA and can be reached out via phone at 425-954-3330 and via fax at 425-249-3107.

Location: 23007 Lakeview Drive, Mountlake Terrace, WA, 98155-1117
institution
Provider Profile Details
NPI Number
1710599758
Provider Name
Kelly Knickerbocker Arnp Pllc
Credential
Provider Entity Type
Organization
Address
23007 Lakeview Drive, Mountlake Terrace, WA, 98155-1117
Phone Number
425-954-3330
Fax Number
425-249-3107
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427304138 01 PROVIDER NPI (NPI 1)
institution
Provider Business Practice Location Address Details
Address
23007 Lakeview Drive
City
State
Zip
98043-1117
Phone Number
425-954-3330
Fax Number
425-249-3107
person
Provider Business Mailing Address Details
Address
23007 Lakeview Drive
City
State
Zip
98043-1117
Phone Number
425-954-3330
Fax Number
425-249-3107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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