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Individual
CARLTON ROSS KIMMERLE
Active
Individual
CARLTON ROSS KIMMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
58085
MN
Other
Enumeration date
05/05/2010
Last updated
11/11/2021
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