Healthcare Provider Details

I. General information

NPI: 1811028509
Provider Name (Legal Business Name): DORI L. KLEMANSKI APRN.CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD FL 6
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-366-8700
  • Fax: 614-685-3081
Mailing address:
  • Phone: 614-366-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.07985
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: