MRS. KELLY BONAVENA L.AC, MSOM
NPI 1841455342
Acupuncturist in Puyallup, WA

Active since July 23, 2008
102 N MERIDIAN, UNIT 3A, PUYALLUP, WA 98371(253) 970-8256(206) 420-7133 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Bonavena L.ac, Msom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY BONAVENA L.AC, MSOM (NPI 1841455342) is an individual acupuncturist in Puyallup, Washington, licensed in Washington (AC 00003070) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1841455342
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameMRS. KELLY BONAVENACredential: L.AC, MSOM
Location Address102 N MERIDIAN, UNIT 3APuyallup, WA 98371-8630
Mailing Address12221 Shorewood Dr SwBurien, WA 98146-2411 · (203) 824-2625 · Fax (206) 420-7133
Fax(206) 420-7133
Sole ProprietorYes
Enumeration DateJuly 23, 2008
Last NPPES UpdateJuly 28, 2008
NPI 1841455342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in WA · AC 00003070
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
102 N MERIDIAN, Puyallup, WA 98371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bonavena's NPI number?

The NPI number for Kelly Bonavena is 1841455342. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Kelly Bonavena located?

Kelly Bonavena practices at 102 N Meridian Unit 3A, Puyallup, WA 98371. The listed phone number is (253) 970-8256.

What is Kelly Bonavena's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Kelly Bonavena was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.