Organization · Type 2 NPI

Avera McKennan

Home Infusion Agency · Sioux Falls, SD

NPI number 1164492906 Active

Practice location

4101 W Memory Cir Ste 110
Sioux Falls, SD 57107-6504

Fax (605) 322-8317

Specialties and licenses

TaxonomyCodeLicense
Home Infusion Agency Primary 251F00000X1001663 (SD)
Durable Medical Equipment & Medical Supplies 332B00000X100-1663 (SD)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X100-1663 (SD)
Pharmacy 333600000X1001663 (SD)
Home Infusion Therapy Pharmacy 3336H0001X100-1663 (SD)
Specialty Pharmacy 3336S0011X100-1663 (SD)

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About NPI 1164492906

Avera McKennan's National Provider Identifier is 1164492906, issued on Jan 24, 2006. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Feb 16, 2026.