NPI 1528627361
Avera McKennan
Practice location
- Address
- 3720 W 69th St, Sioux Falls, SD 57108-8192
- Phone
- (605) 322-3050
- Fax
- (605) 322-3051
- Mailing address
- PO Box 5045 Cbo - Prv Enrlmt Palm Place, Sioux Falls, SD 57117-5045
Authorised official
- Name
- Ronald Joseph Place
- Title
- President/Ceo
- Phone
- (605) 322-7903
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1528627361
- Entity type
- Organization
- NPI issued
- 6 Jun 2019
- Record last updated
- 4 Oct 2023
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.