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NPI Verification

National Provider Identifier: 1376575514

Avera McKennan

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (7)

Surgery

Code: 208600000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Nurse Practitioner

Code: 363L00000X

Obstetrics & Gynecology

Code: 207V00000X

Physician Assistant

Code: 363A00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1200 S 7TH AVE

SIOUX FALLS, SD 571050912

Phone: 605-336-2140

NPI Enumeration Date

July 7, 2006

NPI Number

1376575514

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