Individual
KELLY VAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, LAC
Contact information
Practice address
321 W WASHINGTON ST STE 334, MOUNT VERNON, WA 98273-3869
(360) 202-3370
Mailing address
PO BOX 86, BOW, WA 98232-0086
(360) 202-3370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002957
WA
225700000X
Massage Therapist
MA00013415
WA
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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