Avera McKennan
Avera McKennan is a Rural Health Clinic/Center in Wilmot, South Dakota. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
409 4th StWilmot, SD 57279-2214
Phone: (605) 938-4351
Fax: (605) 938-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1770680787 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Flicek — President/Ceo · (605) 322-7916 |
| Other names | Avera Medical Group Wilmot; Avera Medical Group Wilmot |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
| Mailing address | 409 4th St, Wilmot, SD 57279-2214 |
Other providers in Wilmot
-
Coteau Des Prairies Hospital, Inc
409 4th St, Wilmot, SD 57279-2214 · (605) 938-4351