# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Palliative Medicine Sioux Falls
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356629497
- **Authorized official:** DAVID FLICEK (CEO/PRESIDENT)
- **Authorized official phone:** (605) 322-8000

## Contact information

- **Practice address:** 911 E 20TH ST STE 400, SIOUX FALLS, SD 57105-1046
- **Practice address phone:** (605) 322-8993
- **Practice address fax:** (605) 322-7631
- **Mailing address:** PO BOX 86370, SIOUX FALLS, SD 57118-6370
- **Mailing address phone:** (605) 322-7510
- **Mailing address fax:** (605) 322-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 08/04/2020