Avera Mckennan
NPI #1255307450 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1255307450
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Nurse Practitioner - Women's Health
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Feb 16, 2021
Practice Location
- Address
- 911 E 20TH ST
- Address 2
- STE 200
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-1042
- Phone
- (605) 322-3455
Authorized Official
- Name
- DAVID FLICEK
- Title
- CEO/PRESIDENT
- Phone
- (605) 322-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
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