AVERA MCKENNAN NPI 1497847446

NPI Details

AVERA MCKENNAN is a physician assistant in Big Stone City, SD. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. AVERA MCKENNAN NPI is 1497847446. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Big Stone City.

The provider's business location address is:

451 MAIN ST
BIG STONE CITY, SD
ZIP 57216
Phone: (605) 862-7999
Fax: (605) 862-7998

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 CLIA number assigned to this NPI record is 43D1054703 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/16/2011.

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: