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Avera Mckennan — NPI 1710316252, Sioux Falls, SD | NPI Central

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NPI 1710316252

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Avera Mckennan

NPI 1710316252 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sioux Falls, SD

Provider details

NPI number: 1710316252
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Ronald Place, President/Ceo(605) 322-7903
License: 10563 (SD)

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700XLicense 10563 (SD)
Ambulatory Health Care Facilities

Practice location

4210 W 53rd St

Sioux Falls, SD 57106-4257

Phone: (605) 322-1490

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

Po Box 5045

Sioux Falls, SD 57117-5045

Other names (DBA / former)

Doing business as: Avera Dialysis Sioux Falls
Doing business as: Avera Dialysis Sioux Falls

Registry dates

Enumerated: 2013-11-05
Last updated: 2025-08-07
Certified: 2025-08-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.