Organization · Type 2 NPI

Avera McKennan

Clinic/Center · Spirit Lake, IA

NPI number 1922196856 Active

Practice location

2700 23rd Street
Spirit Lake, IA 51360

Fax (712) 336-3241

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1922196856

Avera McKennan's National Provider Identifier is 1922196856, issued on Oct 10, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Spirit Lake, IA. The record was last updated on May 31, 2017.