Individual
HEIDI ANN MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E. 23RD ST., STE. 230, SIOUX FALLS, SD 57105-2122
(605) 322-6900
(605) 322-6901
Mailing address
2400 S. MINNESOTA AVE., STE. 100, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48701
MN
207RH0003X
Hematology & Oncology Physician
48701
MN
207RH0003X
Hematology & Oncology Physician
Primary
7950
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006870
—
SD
05
—
698980000
—
MN
01
—
P00629285
MEDICARE RAILROAD
MN
Enumeration date
08/05/2006
Last updated
07/31/2014
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