NPI 1295187417 · live from the CMS NPI Registry
Avera Mckennan
Psychiatry & Neurology, Neurology in Sioux Falls, SD. National Provider Identifier 1295187417, active.
NPI record
| NPI | 1295187417 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108 |
| Practice phone | 605-334-2662 |
| Enumerated | July 12, 2016 |
| Last updated | July 12, 2016 |
| Authorized official | Julie Norton, Cfo |
| Other names | Headache Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.