Mrs Kelly Bonavena, LAC, MSOM - Acupuncturist in Puyallup, WA

Mrs Kelly Bonavena, LAC, MSOM is a Acupuncturist based in Puyallup, Washington. Mrs Kelly Bonavena is licensed to practice in Washington (license number AC 00003070) and her current practice location is 102 N Meridian, Unit 3a, Puyallup, Washington. She can be reached at her office (for appointments etc.) via phone at (253) 970-8256.

NPI number for Mrs Kelly Bonavena is 1841455342 and her current mailing address is 12221 Shorewood Dr Sw, Burien, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841455342.

Contact Information

Mrs Kelly Bonavena, LAC, MSOM
102 N Meridian, Unit 3a,
Puyallup, WA 98371-8630
(253) 970-8256
(206) 420-7133

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Bonavena
GenderFemale
SpecialityAcupuncturist
Location102 N Meridian, Puyallup, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841455342
  • Provider Enumeration Date: 07/23/2008
  • Last Update Date: 07/28/2008

Medical Identifiers

Medical identifiers for Mrs Kelly Bonavena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841455342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist AC 00003070 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Bonavena is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Bonavena, LAC, MSOM
12221 Shorewood Dr Sw,
Burien, WA 98146-2411

Ph: (203) 824-2625
Mrs Kelly Bonavena, LAC, MSOM
102 N Meridian, Unit 3a,
Puyallup, WA 98371-8630

Ph: (253) 970-8256

Reviews and Comments


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Practice Location: 10002 158th St E, Apartment #1, Puyallup, WA 98375
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Phone: 808-728-3960    
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Phone: 253-970-8256    Fax: 253-604-4450
Anna Marie Graklanoff, ND, LAC
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Medicare: Not Enrolled in Medicare
Practice Location: 104 23rd Ave Se, Puyallup, WA 98372
Phone: 253-268-2170    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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