| Avera Kannan Clinic | |
|
911 E 20th St Ste. 403 Sioux Falls SD 57105-1042 | |
| (605) 322-7516 | |
| (605) 322-7519 |
| Full Name | Avera Kannan Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 911 E 20th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Julie N Norton (SENIOR VP OF FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Kannan Clinic 2400 S Minnesota Ave. Ste 100 Sioux Falls SD 57105-3762 Ph: (605) 322-7510 | Avera Kannan Clinic 911 E 20th St Ste. 403 Sioux Falls SD 57105-1042 Ph: (605) 322-7516 |
| NPI Number | 1609848175 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609848175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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