SearchWashington171100000X

Genevieve Kinney, MACOM

NPI 1700420775 · on the registry since 2019 · sole proprietor

Practice

Address
340 Ericksen Ave Ne
Bainbridge Island, WA 98110
Phone
(206) 201-9897

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington