KENNETH D DERNOVSEK MD NPI 1952373722

NPI Information

  • NPI: 1952373722
  • Provider Name: KENNETH D DERNOVSEK, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • Address: 1925 E ORMAN AVE
    STE 115
    PUEBLO, CO
    ZIP 81004
  • Phone: (719) 564-4500

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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