MEDICARE: MRS. KIMBERLY DAWN DIMEL RN, BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	RN363523	OH

General Provider Information

NPI Number	:	1518890904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY DAWN DIMEL RN, BSN

Provider Business Mailing Address
First Line	:	1001 DEMOREST RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1043
Country	:	US
Telephone Number	:	614-801-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 DEMOREST RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-1043
Country	:	US
Telephone Number	:	614-801-3215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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