| 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 |