AVERA MCKENNAN NPI 1467695767

NPI Information

AVERA MCKENNAN is a medical specialty clinic center in Sioux Falls, SD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AVERA MCKENNAN NPI is 1467695767. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Breast Center.

The provider's business location address is:

1000 E 23RD ST
SUITE 330
SIOUX FALLS, SD
ZIP 57105-113
Phone: (605) 322-7465
Fax: (605) 322-1789

The provider's authorized official is David Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7916.

The enumeration date for this NPI number is 4/16/2009 and was last updated on 1/8/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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