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Individual

JOHN H KIMBERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1650 BEAM AVE, MAPLEWOOD, MN 55109-1192
(651) 770-6605
Mailing address
9360 84TH ST N, STILLWATER, MN 55082-8308

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5415
MN

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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