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Organization

AVERA MCKENNAN

Active
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Organization

AVERA MCKENNAN

Active
Other names
Avera Kannan Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE N NORTON (SENIOR VP OF FINANCE)
(605) 322-6375
Entity
Organization

Contact information

Practice address
911 E 20TH ST, STE. 403, SIOUX FALLS, SD 57105-1042
(605) 322-7516
(605) 322-7519
Mailing address
2400 S MINNESOTA AVE., STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/07/2006
Last updated
03/27/2012
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