Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly M Potochny, PAC

Individual provider Physician Assistant · NPI 1154390706

Kelly M Potochny, PAC is a Physician Assistant in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

401 S Ballenger Hwy Attn Surgical Services
Flint, MI 48532-3638
Phone: (810) 342-4917
Fax: (810) 342-1335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003490 (MI)

Record details

NPI number1154390706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESOctober 9, 2012

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