Kelly Knickerbocker Arnp Pllc
NPI #1710599758 in Mountlake Terrace, Washington
Provider Information
- NPI Number
- 1710599758
- Entity Type
- Organization
- Organization Name
- Kelly Knickerbocker Arnp Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 23007 LAKEVIEW DRIVE
- Address 2
- A203
- State
- Washington
- ZIP Code
- 98043-1117
- Phone
- (425) 954-3330
Authorized Official
- Name
- DAVID SWANSON
- Title
- ADMINISTRATOR
- Phone
- (425) 954-3330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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