AVERA MCKENNAN NPI 1164780201

NPI Information

  • NPI: 1164780201
  • Provider Name: AVERA MCKENNAN
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP MCHALE INSTITUTE
  • Address: 3720 W 69TH ST
    SIOUX FALLS, SD
    ZIP 57108
  • Phone: (605) 339-4464

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NPI Details

AVERA MCKENNAN is a hematology and oncology internal medicine in Sioux Falls, SD. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. AVERA MCKENNAN NPI is 1164780201. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Mchale Institute.

The provider's business location address is:

3720 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-192
Phone: (605) 339-4464
Fax: (605) 339-0309

The provider's authorized official is Julie N Norton .
The authorized official title is Senior Vp Finance and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/26/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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