Search › Michigan › 363A00000X
Kimberly Potestivo, PA-C
NPI 1760691026 · on the registry since 2007
Practice
- Address
- 1142 S Van Dyke Rd Ste 100
Bad Axe, MI 48413 - Phone
- (899) 269-7445
- Fax
- (989) 269-7490
- Organisation at this address
- Saginaw Vamc
Huron County Health DepartmentInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MI, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-27
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 Michigan