AVERA MCKENNAN NPI 1013668698

NPI Information

AVERA MCKENNAN is an addiction medicine psychiatry neurology in Sioux Falls, SD. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine AVERA MCKENNAN NPI is 1013668698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4400 W 69TH ST STE 3100
SIOUX FALLS, SD
ZIP 57108-170
Phone: (605) 504-3522
Fax: (605) 322-4345

The provider's authorized official is David William Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7915.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/14/2022.

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:

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