NPI 1952841629
Avera McKennan
Practice location
- Address
- 301 Flynn Dr STE 4, Milbank, SD 57252-1508
- Phone
- (605) 432-3340
- Fax
- (605) 432-3344
- Mailing address
- PO Box 5045 Attn: Pfs Provider Enrllment, Sioux Falls, SD 57117-5045
Authorised official
- Name
- David Flicek
- Title
- President/Ceo
- Phone
- (605) 322-7915
Registered specialties
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
Registry record
- NPI
- 1952841629
- Entity type
- Organization
- NPI issued
- 1 Mar 2017
- Record last updated
- 1 Jul 2021
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.