Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clayton Edward McKiddy, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1861830838

Clayton Edward McKiddy, ANP is an Adult Health Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

969 N Mason Rd Ste 160
Saint Louis, MO 63141-6338
Phone: (314) 996-3434
Fax: (314) 996-3595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2013011243 (MO)

Record details

NPI number1861830838
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 12, 2013

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