Provider Profile
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License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
16710 39TH AVE NE
Lake Forest Park, WA 98155
20126 Ballinger Way NE # 89
Shoreline, WA 98155
3510 Steelhammer Lane
Centralia, WA 98531
Kelly M. Knickerbocker is a nurse practitioner in Lake Forest Park, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.
NPI registry
Kelly M. Knickerbocker is listed at 16710 39Th Ave Ne, Lake Forest Park, WA 98155. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (425) 568-7608. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Kelly M. Knickerbocker's National Provider Identifier is 1427304138. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Kelly M. Knickerbocker has 14+ years experience. Registered with an NPI since 2012. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Kelly M. Knickerbocker. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.