Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Knickerbocker Arnp PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1710599758

Kelly Knickerbocker Arnp PLLC is a Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, Washington. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

23007 Lakeview Drive A203
Mountlake Terrace, WA 98043-1117
Phone: (425) 954-3330
Fax: (425) 249-3107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11411 Ne 124th St Ste 190, Kirkland, WA 98034-4318 — (206) 945-7512

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1710599758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Swanson — Administrator · (425) 954-3330
Other names Kelly Knickerbocker Arnp
NPI enumeratedAugust 20, 2020
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address20126 Ballinger Way Ne, Pmb 89, Shoreline, WA 98155-1117

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