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Contact Information

AVERA MCKENNAN
2908 E. 26TH ST.
SIOUX FALLS, SD57103-4034
 Phone: 605-336-2638
 Fax: 605-334-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN · (Female)

NPI Number 1467752899
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2010
Last updated 08/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • SD Other 1202730029 SD MEDICARE DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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