Avera Mckennan
NPI #1013668698 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1013668698
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Psychiatry & Neurology - Addiction Medicine
- Enumeration Date
- Jan 14, 2022
- Last Updated
- Jan 14, 2022
Practice Location
- Address
- 4400 W 69TH ST STE 3100
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57108-8170
- Phone
- (605) 504-3522
Authorized Official
- Name
- DAVID WILLIAM FLICEK
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
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