SearchMichigan363A00000X

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 Department
Inferred 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