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

Dr. Clay Earl Lyddane, MDPHD

Individual provider Urology Physician · NPI 1760641476

Dr. Clay Earl Lyddane, MDPHD is an Urology in Wichita, Kansas. Qualified in 2006, 20 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Kansas.

Years since qualifying
20
Licensed in
CO, KS
In the registry since
2008
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3311 E Murdock St
Wichita, KS 67208-3054
Phone: (316) 689-9185
Fax: (316) 689-9909
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1020 Lakeview Ave, Pueblo, CO 81004-3508 — (719) 557-4700

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 04-35145 (KS)
Urology Physician Taxonomy 208800000X · Licence DR.0072509 (CO)

Record details

NPI number1760641476
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 6, 2008
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address3311 E Murdock St, Wichita, KS 67208-3054

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wichita