NPI | 1609848175 |
---|---|
Doing Business As | AVERA KANNAN CLINIC |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON Senior VP Of Finance 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2006-02-07 |
Last Update Date | 2012-03-27 |