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Contact Information

AVERA MCKENNAN
451 MAIN ST
BIG STONE CITY, SD57216
 Phone: 605-862-7999
 Fax: 605-862-7998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN · (Female)

NPI # 1497847446
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2006
Last updated 03/16/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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