Organization · Type 2 NPI

Avera McKennan

Obstetrics & Gynecology Physician · Sioux Falls, SD

NPI number 1003188269 Active

Practice location

6100 S Louise Ave Ste 1110
Sioux Falls, SD 57108-6021

Call (605) 504-1570 Map

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Other practice locations

1417 S. Cliff Ave., Ste. 101A, Sioux Falls, SD 57105-1063 · (605) 322-6700

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4 other providers at this address

Other obstetrics & gynecology physician providers in Sioux Falls

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NPI record

NPI: 1003188269
Entity type: Organization (Type 2)
Issued: Feb 3, 2012
Last updated: Nov 1, 2019
Status: Active

Other names

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Avera Medical Group Urogynecology Sioux Falls · doing business as
Avera Medical Group Urogynecology Sioux Falls · doing business as

Authorized official

David Flicek
CEO/president
(605) 322-8000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003188269

Avera McKennan's National Provider Identifier is 1003188269, issued on Feb 3, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Nov 1, 2019.