| Avera Mckennan | |
|
725 E Figzel Ct Suite 100 Tea SD 57064-2276 | |
| (605) 368-9899 | |
| Not Available |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 725 E Figzel Ct, Tea, South Dakota |
| Authorized Official Name and Position | Ronald J Farr (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053689899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Po Box 90608 Sioux Falls SD 57109-0608 Ph: (605) 782-8313 | Avera Mckennan 725 E Figzel Ct Suite 100 Tea SD 57064-2276 Ph: (605) 368-9899 |
| NPI Number | 1831230408 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831230408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Orthopedic Institute Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Live Stronger St, Tea, SD 57064 Phone: 605-331-5890 | |
Avera Mckennan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 E Figzel Ct, Suite 100, Tea, SD 57064 Phone: 605-368-9899 Fax: 605-368-5089 |