Organization · Type 2 NPI

Avera McKennan

Rural Health Clinic/Center · Wilmot, SD

NPI number 1770680787 Active

Practice location

409 4th St
Wilmot, SD 57279-2214

Fax (605) 938-4351

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed
Nurse Practitioner 363L00000XNone listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1770680787

Avera McKennan's National Provider Identifier is 1770680787, issued on Sep 20, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wilmot, SD. The record was last updated on Sep 10, 2020.