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AVERA MCKENNAN NPI 1821686932


NPI Information

NPI: 1821686932
Provider Name: AVERA MCKENNAN
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
1417 S CLIFF AVE STE 201
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-3440
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AVERA MCKENNAN is a pediatric critical care medicine pediatrics in Sioux Falls, SD. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. AVERA MCKENNAN NPI is 1821686932. 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 201
SIOUX FALLS, SD
ZIP 57105-009
Phone: (605) 322-3440
Fax: (605) 322-3654

The provider's authorized official is David William Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7915.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

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: 4/28/2024

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