Avera Mckennan
NPI #1023480951 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1023480951
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 30, 2015
- Last Updated
- Oct 24, 2018
Practice Location
- Address
- 3000 S MINNESOTA AVE
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-5647
- Phone
- (605) 332-1502
Authorized Official
- Name
- DAVID FLICEK
- Title
- CEO/PRESIDENT
- Phone
- (605) 322-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Physician Assistant |
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