Organization · Type 2 NPI

Avera McKennan

Addiction Medicine (Psychiatry & Neurology) Physician · Sioux Falls, SD

NPI number 1013668698 Active

Practice location

4400 W 69th St Ste 3100
Sioux Falls, SD 57108-8170

Fax (605) 322-4345

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Nurse Practitioner 363L00000XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

About NPI 1013668698

Avera McKennan's National Provider Identifier is 1013668698, issued on Jan 14, 2022. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Sioux Falls, SD. The record was last updated on Jan 14, 2022.