Anderson, Clay M
Anderson, Clay M is an individual health care provider with primary practice located at 4150 N Mulberry Dr , Kansas City MO 64116-1779. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Anderson, Clay M can be contacted via phone (816) 912-4539.Contact Information
Primary practice address
4150 N Mulberry Dr
Kansas City MO 64116-1779
Phone: (816) 912-4539
Fax: (855) 813-6642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 113467 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 113467 | Missouri |
Profile Details
| NPI number | 1588601215 |
|---|---|
| LBN Legal business name | Anderson, Clay M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jan 17th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588601215 | NPPES |
| Missouri | Other | 117784 | BLUE SHIELD |
| Missouri | Other | 117784 | BLUE SHIELD |
| Missouri | Other | 3609051 | BLUE SHIELD |
| Missouri | MEDICAID | 208722306 | BLUE SHIELD |
| Missouri | Other | 331048 | BLUE SHIELD |
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