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AVERA MCKENNAN NPI 1932346251


NPI Information

NPI: 1932346251
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP GYNECOLOGIC ONCOLOGY SIOUX FALLS

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
1000 E. 23RD ST.
STE. 350
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7535
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AVERA MCKENNAN is a gynecologic oncology obstetrics gynecology in Sioux Falls, SD. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. AVERA MCKENNAN NPI is 1932346251. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Gynecologic Oncology Sioux Falls.

The provider's business location address is:

1000 E. 23RD ST.
STE. 350
SIOUX FALLS, SD
ZIP 57105-140
Phone: (605) 322-7535
Fax: (605) 322-7540

The provider's authorized official is David Flicek .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-8000.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 10/24/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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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