Avera McKennan
Avera McKennan provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Wagner, South Dakota. Licensed in South Dakota. Registered with an NPI since 2016.
- Licensed in
- SD
- In the registry since
- 2016
Practice location Address checks out
310 W Sd Highway 46Wagner, SD 57380-9304
Phone: (605) 384-4980
Fax: (605) 384-4990
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence 10563 (SD) |
|---|
Record details
| NPI number | 1538527106 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Place — President/Ceo · (605) 322-7903 |
| Other names | Avera Dialysis Wagner; Avera Dialysis Wagner |
| NPI enumerated | February 10, 2016 |
| Last updated in NPPES | October 4, 2023 |
| Certification date | October 4, 2023 |
| Mailing address | Po Box 5045, Pfs Prov Enrllmt, Sioux Falls, SD 57117-5045 |
Clinicians affiliated with this facility
- Byron S Nielsen, MD Nephrology Physician · Yankton, SD
- Bo Yu, MD Internal Medicine Physician · Philadelphia, PA