Avera Mckennan
NPI #1104892892 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1104892892
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Feb 23, 2006
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 1301 S CLIFF AVE STE 4400
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-1005
- Phone
- (605) 322-5800
Authorized Official
- Name
- RONALD PLACE
- Title
- CEO/PRESIDENT
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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