Avera Mckennan
NPI #1770680787 in Wilmot, South Dakota
Provider Information
- NPI Number
- 1770680787
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 409 4TH ST
- City
- Wilmot
- State
- South Dakota
- ZIP Code
- 57279-2214
- Phone
- (605) 938-4351
Authorized Official
- Name
- DAVID FLICEK
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Clinic/Center - Rural Health — Rural Health |
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