Kelly Marie Knickerbocker, MSN ARNP PMHNP
NPI #1427304138 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1427304138
- Entity Type
- Individual
- Name
- Kelly Marie Knickerbocker, MSN ARNP PMHNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- MSN ARNP PMHNP
- Enumeration Date
- Jul 31, 2012
- Last Updated
- Jan 30, 2026
Practice Location
- Address
- 16710 39TH AVE NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155
- Phone
- (425) 568-7608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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