Dernovsek, Kenneth D

Dernovsek, Kenneth D is an individual health care provider with primary practice located at 1925 E Orman Ave Ste 115, Pueblo CO 81004-3537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Dernovsek, Kenneth D can be contacted via phone (719) 564-4500.

Contact Information

Primary practice address
1925 E Orman Ave Ste 115 Pueblo CO 81004-3537
Phone: (719) 564-4500
Fax: (719) 564-0304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 26083 Colorado

Profile Details

NPI number 1952373722
LBN Legal business name Dernovsek, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952373722 NPPES
Colorado Other 460003468 RAILROAD MEDICARE
Colorado MEDICAID 01260835 RAILROAD MEDICARE
Colorado Other 1952373722 RAILROAD MEDICARE

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