Provider Type Icon

KENNETH D DERNOVSEK MD NPI 1952373722


NPI Information

NPI: 1952373722
Provider Name: KENNETH D DERNOVSEK, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1925 E ORMAN AVE
STE 115
PUEBLO, CO
ZIP 81004
Phone: (719) 564-4500
Get Directions

Kenneth D Dernovsek, MD is an endocrinology and diabetes and metabolism internal medicine in Pueblo, CO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Kenneth D Dernovsek, MD NPI is 1952373722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1925 E ORMAN AVE
STE 115
PUEBLO, CO
ZIP 81004-537
Phone: (719) 564-4500
Fax: (719) 564-0304

The enumeration date for this NPI number is 2/6/2006 and was last updated on 1/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism26083COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952373722OTHERCOLORADORAILROAD MEDICARE
2D24748MEDICARE UPIN
3460003468OTHERCOLORADORAILROAD MEDICARE
401260835MEDICAIDCOLORADO
5D24748MEDICARE UPINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.