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

Mrs. Kelly Bonavena, LAC, MSOM

Individual provider Acupuncturist · NPI 1841455342

Mrs. Kelly Bonavena, LAC, MSOM is an Acupuncturist in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2008
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

102 N Meridian Unit 3A
Puyallup, WA 98371-8630
Phone: (253) 970-8256
Fax: (206) 420-7133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC 00003070 (WA)

Record details

NPI number1841455342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , MSOM
Sole proprietorYes
NPI enumeratedJuly 23, 2008
Last updated in NPPESJuly 28, 2008

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