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Avera Mckennan
Radiologic Technologist in Sioux Falls, South Dakota
NPI 1548233885

Avera Mckennan is a Radiologic Technologist based in Sioux Falls, SD. Avera Mckennan practices in Sioux Falls, SD. The NPI Number for Avera Mckennan is 1548233885 and holds a License No. (South Dakota).

The current practice location address for Avera Mckennan is 1001 E 21St St, Sioux Falls, SD and can be reached out via phone at 605-322-1745 and via fax at 605-322-1746.

Location: 1001 E 21St St, Sioux Falls, SD, 57118-6370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548233885
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
1001 E 21St St, Sioux Falls, SD, 57118-6370
Phone Number
605-322-1745
Fax Number
605-322-1746
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
543R6AV 01 MN BLUE PLUS
10025121100 05 NE
370624200 01 SD DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
1001 E 21St St
City
Sioux Falls
State
South Dakota
Zip
57105-1033
Phone Number
605-322-1745
Fax Number
605-322-1746
person
Provider Business Mailing Address Details
Address
1001 E 21St St
City
Sioux Falls
State
South Dakota
Zip
57105-1033
Phone Number
605-322-1745
Fax Number
605-322-1746
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
()
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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