Avera Mckennan

NPI 1922196856

Information of Avera Mckennan

The NPI 1922196856 is an Organization type. NPI No 1922196856 belongs to Avera Mckennan. Avera Mckennan specializes in Clinic/Center. is practising at 2700 23rd Street, Spirit Lake, Iowa 51360. You can also contact him via phone number (712) 336-2410.

Practice address located

  • 2700 23rd Street
  • Spirit Lake, Iowa 51360
  • (712) 336-2410
  • (712) 336-2410

Mailling address located

  • 2700 23rd Street
  • Spirit Lake, Iowa 51360
  • (712) 336-2410
  • (712) 336-3241
NPI No 1922196856
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes261Q00000XClinic/Centern/an/a
Identifier for this provider
StateIdentifierTypeIssuer
IA55038Medicare ID-Type UnspecifiedMEDICARE/BLUE SHIELD
IA146241Medicaidn/a
Similar NPIs No