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AVERA MCKENNAN NPI 1013177393


NPI Information

NPI: 1013177393
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
6100 S LOUISE AVE STE 1130
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 504-1600
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AVERA MCKENNAN is a rheumatology internal medicine in Sioux Falls, SD. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. AVERA MCKENNAN NPI is 1013177393. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Rheumatology Sioux Falls.

The provider's business location address is:

6100 S LOUISE AVE STE 1130
SIOUX FALLS, SD
ZIP 57108-021
Phone: (605) 504-1600

The provider's authorized official is David Flicek .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-8000.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 11/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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