Search › Pennsylvania › 101YM0800X
Kimberly Portanova
NPI 1326474610 · on the registry since 2013 · sole proprietor
Practice
- Address
- 104 Grandview St
Clarks Summit, PA 18411 - Phone
- (570) 878-8636
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania