Individual
CLAY M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 N MULBERRY DR, KANSAS CITY, MO 64116-1779
(816) 912-4539
(855) 813-6642
Mailing address
4150 N MULBERRY DR, KANSAS CITY, MO 64116-1779
(816) 912-4539
(855) 813-6642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
113467
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
113467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117784
BLUE SHIELD
MO
05
—
208722306
—
MO
01
—
331048
HEALTHLINK
MO
01
—
3609051
UNITED HEALTHCARE
MO
Enumeration date
06/01/2006
Last updated
09/22/2025
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