CLAYTON EDWARD MCKIDDY ANP
NPI 1861830838
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since June 12, 2013
969 N MASON RD, STE 160, SAINT LOUIS, MO 63141(314) 996-3434(314) 996-3595 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Edward Mckiddy Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYTON EDWARD MCKIDDY ANP (NPI 1861830838) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2013011243) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1861830838
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameCLAYTON EDWARD MCKIDDYCredential: ANP
Location Address969 N MASON RD, STE 160Saint Louis, MO 63141-6338
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (314) 996-3434 · Fax (314) 996-3595
Fax(314) 996-3595
Sole ProprietorNo
Enumeration DateJune 12, 2013
NPI 1861830838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2013011243
969 N MASON RD, Saint Louis, MO 63141

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Sleep Medicine)
969 N MASON RD, SUITE 250
SAINT LOUIS, MO 63141
Dermatology
969 N MASON RD, DIV IM DERMATOLOGY, STE 220
SAINT LOUIS, MO 63141
Registered Nurse (Medical-Surgical)
969 N MASON RD, DEPT ORTHOPAEDIC SURGERY, STE 230
SAINT LOUIS, MO 63141
Dermatology
969 N MASON RD, DIV IM DERMATOLOGY, STE 200
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
969 N MASON RD, STE 160
SAINT LOUIS, MO 63141
Internal Medicine
969 N MASON RD
SAINT LOUIS, MO 63141
Orthopaedic Surgery (Sports Medicine)
969 N MASON RD, DEPT ORTHOPAEDIC SURGERY, STE 230
SAINT LOUIS, MO 63141
Dermatology
969 N MASON RD, DIV IM DERMATOLOGY, STE 220
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clayton Mckiddy's NPI number?

The NPI number for Clayton Mckiddy is 1861830838. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Clayton Mckiddy located?

Clayton Mckiddy practices at 969 N Mason Rd Ste 160, Saint Louis, MO 63141. The listed phone number is (314) 996-3434.

What is Clayton Mckiddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Clayton Mckiddy was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.