AVERA MCKENNAN NPI 1295187417

NPI Information

  • NPI: 1295187417
  • Provider Name: AVERA MCKENNAN
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: HEADACHE CENTER
  • Address: 6709 S. MINNESOTA AVE.
    STE. 103
    SIOUX FALLS, SD
    ZIP 57108
  • Phone: (605) 334-2662

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NPI Details

AVERA MCKENNAN is a neurology psychiatry neurology in Sioux Falls, SD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AVERA MCKENNAN NPI is 1295187417. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Headache Center.

The provider's business location address is:

6709 S. MINNESOTA AVE.
STE. 103
SIOUX FALLS, SD
ZIP 57108-593
Phone: (605) 334-2662

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

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.

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
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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