CLAYTON EDWARD MCKIDDY ANP NPI 1861830838

NPI Information

NPI: 1861830838
Provider Name: CLAYTON EDWARD MCKIDDY, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
969 N MASON RD
STE 160
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-3434
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Clayton Edward Mckiddy, ANP is an adult health nurse practitioner in Saint Louis, MO. Clayton Edward Mckiddy, ANP NPI is 1861830838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

969 N MASON RD
STE 160
SAINT LOUIS, MO
ZIP 63141-338
Phone: (314) 996-3434
Fax: (314) 996-3595

The enumeration date for this NPI number is 6/12/2013 and was last updated on 6/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	2013011243	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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