| NPI | 1356788491 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP KENNEBEC AREA |
| Entity Type | Organization |
| Authorized Contact | JULIE N. NORTON Sr. VP Finance /CFO 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |