HomeNPI Verification

NPI Verification

National Provider Identifier: 1679140396

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

Phone: 605-322-6428

NPI Enumeration Date

June 10, 2021

NPI Number

1679140396

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