Individual
KATELIN ANNE MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Mailing address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021023192
MO
208600000X
Surgery Physician
MD470077
PA
Other
Enumeration date
03/19/2013
Last updated
09/16/2021
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