Organization · Type 2 NPI

Avera McKennan

Neurological Surgery Physician · Sioux Falls, SD

NPI number 1114113693 Active

Practice location

1301 S. Cliff Ave.
Sioux Falls, SD 57105-1032

Call (605) 322-8860 Map

Fax (605) 322-8868

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician Primary	207T00000X	None listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

5 other providers at this address

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NPI record

NPI: 1114113693
Entity type: Organization (Type 2)
Issued: Sep 19, 2007
Last updated: Oct 28, 2024
Status: Active

Other names

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Avera Medical Group Brain and Spine Institute · doing business as
Avera Medical Group Brain and Spine Institute · doing business as

Authorized official

Ronald Place
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 1114113693

Avera McKennan's National Provider Identifier is 1114113693, issued on Sep 19, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Oct 28, 2024.