Avera Mckennan
NPI #1023413093 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1023413093
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 3, 2014
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 1900 GRASSLAND DR
- Address 2
- STE 102
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-6205
- Phone
- (605) 995-6730
Authorized Official
- Name
- RONALD JOSEPH PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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