KELLY MARIE KNICKERBOCKER

MOUNTLAKE TERRACE, WA
NPI1427304138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP 60448879)
Enumeration Date2012-07-31
Last Update Date2023-12-07
Business Address
KELLY MARIE KNICKERBOCKER MSN RN PMHNP
23007 LAKEVIEW DR UNIT A203
MOUNTLAKE TERRACE, WA 98043-2378
Phone number: 425-954-3330
Mailing Address
KELLY MARIE KNICKERBOCKER MSN RN PMHNP
11411 NE 124TH ST SUITE 190
KIRKLAND, WA 98034-4314
Phone number: 206-945-7512
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