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NPI Verification

National Provider Identifier: 1114594868

Avera McKennan

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (5)

Emergency Medicine

Code: 207P00000X

Internal Medicine

Code: 207R00000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

PO BOX 5045 PFS PROV ENRLMT PALM PLACE

SIOUX FALLS, SD 571175045

NPI Enumeration Date

June 9, 2021

NPI Number

1114594868

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry