person
Dr. Kimberly Elise Portale, DO
Obstetrics & Gynecology Physician in O Fallon, Illinois
NPI 1134482656

Kimberly Elise Portale is a Obstetrics & Gynecology Physician based in O Fallon, IL. Kimberly Elise Portale practices in O Fallon, IL and has the professional credentials of DO. The NPI Number for Kimberly Elise Portale is 1134482656 and holds a License No. (Illinois).

The current practice location address for Kimberly Elise Portale is 1 Saint Elizabeth Blvd, O Fallon, IL and can be reached out via phone at 618-234-2120.

Location: 1 Saint Elizabeth Blvd, O Fallon, IL, 62269-1099
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Provider Profile Details
NPI Number
1134482656
Provider Name
Kimberly Elise Portale
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 Saint Elizabeth Blvd, O Fallon, IL, 62269-1099
Phone Number
618-234-2120
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1 Saint Elizabeth Blvd
City
State
Zip
62269-1099
Phone Number
618-234-2120
Fax Number
person
Provider Business Mailing Address Details
Address
1 Saint Elizabeth Blvd
City
State
Zip
62269-1099
Phone Number
618-234-2120
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
20A13356 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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