| Avera Medical Group Kennebec Area | |
|
120 South Main Street Kennebec SD 57544 | |
| (605) 869-2872 | |
| (605) 869-2873 |
| Full Name | Avera Medical Group Kennebec Area |
|---|---|
| Speciality | Family Medicine |
| Location | 120 South Main Street, Kennebec, South Dakota |
| Authorized Official Name and Position | Julie N. Norton (SR. VP FINANCE /CFO) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Kennebec Area 120 South Main Street Kennebec SD 57544 Ph: (605) 869-2872 | Avera Medical Group Kennebec Area 120 South Main Street Kennebec SD 57544 Ph: (605) 869-2872 |
| NPI Number | 1356788491 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356788491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Access Health Kennebec Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 South Main Street, Kennebec, SD 57544 Phone: 605-869-2872 Fax: 605-869-2873 |