| Kelly Marie Knickerbocker, MSN ARNP PMHNP | |
|
16710 39th Ave Ne, Lake Forest Park, WA 98155 | |
| (425) 568-7608 | |
| (425) 669-3216 |
| Full Name | Kelly Marie Knickerbocker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 16710 39th Ave Ne, Lake Forest Park, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427304138 | NPI | - | NPPES |
| 1710599158 | Other | ORGANIZATIONAL NPI 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP 60448879 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marie Knickerbocker, MSN ARNP PMHNP 20126 Ballinger Way Ne, 89, Shoreline, WA 98155 Ph: (206) 507-0666 | Kelly Marie Knickerbocker, MSN ARNP PMHNP 16710 39th Ave Ne, Lake Forest Park, WA 98155 Ph: (425) 568-7608 |
Ms. Emily Pearson Easley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17191 Bothell Way Ne, Lake Forest Park, WA 98155 Phone: 206-364-8272 | |
Ms. Linda Corey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14604 35th Ave Ne, Lake Forest Park, WA 98155 Phone: 206-566-3845 Fax: 206-267-0704 | |
Melinda Kloepfer Rice, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17191 Bothell Way Ne, Lake Forest Park, WA 98155 Phone: 206-364-8272 Fax: 206-364-5418 |