IndividualActive
Kimberly Genkov, DNP, PMH-BC
NPI 1487184065 · Psychiatric/Mental Health Nurse Practitioner · Fort Wainwright, AK
Provider details
- NPI number
- 1487184065
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMH-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704265649 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Basset Army Community Hospital
4076 Neely Rd
Fort Wainwright, AK 99703
Phone: (073) 534-1269
Approximate (ZIP-level) locationGet directions
Mailing address
800 Roe St
Steilacoom, WA 98388-4006
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2025-02-28
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.