Organization · Type 2 NPI

Avera McKennan

Multi-Specialty Clinic/Center · Sioux Falls, SD

NPI number 1114246576 Active

Practice location

1200 S 7th Ave, Suite 2
Sioux Falls, SD 57105-0900

Call (605) 782-8307 Map

Fax (605) 782-8322

Mailing address

PO Box 5045, Attn: Provider Enrollment
Sioux Falls, SD 57117-5045

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X10563 (SD)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1114246576

Avera McKennan's National Provider Identifier is 1114246576, issued on May 25, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Sioux Falls, SD. The record was last updated on Jul 20, 2010.