CLAYTON EDWARD MCKIDDY

SAINT LOUIS, MO
NPI1861830838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2013011243)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
-- CLAYTON EDWARD MCKIDDY ANP
969 N MASON RD STE 160
SAINT LOUIS, MO 63141-6338
Phone number: 314-996-3434
Mailing Address
-- CLAYTON EDWARD MCKIDDY ANP
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-3434
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