DR. Kimberly Elise Portale, D.O.

NPI #1134482656 in O Fallon, Illinois

Provider Information

NPI Number: 1134482656
Entity Type: Individual
Name: DR. Kimberly Elise Portale, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: D.O.
Enumeration Date: Jun 19, 2012
Last Updated: Jul 2, 2024

Practice Location

Address: 1 SAINT ELIZABETH BLVD
City: O Fallon
State: Illinois
ZIP Code: 62269-1099
Phone: (618) 234-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Obstetrics & Gynecology	207V00000X	Primary

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