Individual provider · Type 1 NPI

Kimberly Elise Portale, DO

Obstetrics & Gynecology Physician · O Fallon, IL

NPI number 1134482656 Active

Practice location

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099

Call (618) 234-2120 Map

Other practice locations

  • 701 N 1st St, Springfield, IL 62781-0001 · (217) 528-7541
  • 310 W Losey St, Scott Afb, IL 62225-5250 · (618) 256-7018

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician 207V00000X036169160 (IL)
Obstetrics & Gynecology Physician Primary 207V00000X20A13356 (CA)

Obstetrics & Gynecology Physician: 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.

64 other providers at this address

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About NPI 1134482656

Kimberly Elise Portale, DO's National Provider Identifier is 1134482656, issued on Jun 19, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in O Fallon, IL. The record was last updated on Aug 7, 2026.