Individual
DR. KATHERINE LYNN MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 747-2551
(314) 747-2598
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 747-2551
(314) 747-2598
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32152
NH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2023021803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200129121
—
MO
Enumeration date
03/26/2018
Last updated
08/07/2024
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