NPI 1013668698

Avera McKennan

Organisation Addiction Medicine (Psychiatry & Neurology) Physician Sioux Falls, SD

Practice location

Address: 4400 W 69th St STE 3100, Sioux Falls, SD 57108-8170
Phone: (605) 504-3522
Fax: (605) 322-4345
Mailing address: PO Box 86370, Sioux Falls, SD 57118-6370

Authorised official

Name: David William Flicek
Title: President/Ceo
Phone: (605) 322-7915

Registered specialties (2)

Addiction Medicine (Psychiatry & Neurology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084A0401X

Other Psychiatry & Neurology providers in South Dakota →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in South Dakota →

Registry record

NPI: 1013668698
Entity type: Organization
NPI issued: 14 Jan 2022
Record last updated: 14 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.