NPI 1346216074 · live from the CMS NPI Registry
Avera Mckennan
Dermatology in Sioux Falls, SD. National Provider Identifier 1346216074, active.
NPI record
| NPI | 1346216074 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 6701 S Minnesota Ave, Sioux Falls, SD 57108 |
| Practice phone | 605-322-6960 |
| Mailing address | Po Box 86370, Sioux Falls, SD 57118 |
| Enumerated | February 23, 2006 |
| Last updated | March 12, 2026 |
| Authorized official | Ronald Place, Ceo/President |
| Other names | Avera Dermatology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.