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

Kimberly A Potestivo, PA-C

Individual provider Physician Assistant · NPI 1760691026

Kimberly A Potestivo, PA-C is a Physician Assistant in Bad Axe, Michigan. Licensed in Arizona and Michigan. Registered with an NPI since 2007.

Licensed in
AZ, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1142 S Van Dyke Rd Ste 100
Bad Axe, MI 48413-9800
Phone: (899) 269-7445
Fax: (989) 269-7490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005549 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 3528 (AZ)

Record details

NPI number1760691026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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