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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY BONAVENA, L.AC, MSOM

Active Sole Proprietor

MRS. KELLY BONAVENA, L.AC, MSOM is a Acupuncturist healthcare provider located in PUYALLUP, Washington. NPI 1841455342 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · PUYALLUP, WA

Registration Details

NPI Number
1841455342
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2008 (18.021058269397 yrs)
Last Updated
Jul 28, 2008
License
AC 00003070 (WA)
Sole Proprietor
Yes

Practice Information

Address
102 N MERIDIAN
UNIT 3A
PUYALLUP, WA, 983718630
Browse WA providers · Browse ZIP 98371
Phone
2539708256
Fax
2064207133
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in PUYALLUP, WA

Name Credential NPI
SHUREN XU ACUPUNCTURIST 1801953971
SHAOZHEN LI L.AC. 1871638189
SANDIE SKEEN-LEVY L. AC. 1013036805
ELENA LAER L.AC./EAMP, LMP 1154574556
MR. JULIAN DAVID GREGORY II L.AC. 1477870848
MEEAE OH 1568789782
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.