AVERA MCKENNAN NPI 1568829968

NPI Information

  • NPI: 1568829968
  • Provider Name: AVERA MCKENNAN
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 1417 S CLIFF AVE STE 200
    SIOUX FALLS, SD
    ZIP 57105
  • Phone: (605) 322-4130

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NPI Details

AVERA MCKENNAN is a plastic and reconstructive surgery surgery in Sioux Falls, SD. The provider is a surgeon who specializes in plastic and reconstructive surgery. AVERA MCKENNAN NPI is 1568829968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1417 S CLIFF AVE STE 200
SIOUX FALLS, SD
ZIP 57105-009
Phone: (605) 322-4130
Fax: (605) 322-4131

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 1/15/2016 and was last updated on 4/3/2018.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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