Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DERBENWICK, MD
ActiveKENNETH DERBENWICK, MD is a Legal Medicine healthcare provider located in DAYTONA BEACH, Florida. NPI 1366402562 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1366402562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2006 (20.422013265769 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ME0026485 (FL)
Practice Information
- Address
-
350 N CLYDE MORRIS BLVDDAYTONA BEACH, FL, 32114Browse FL providers · Browse ZIP 32114
- Phone
- 3862383200
- Primary Specialty
-
Legal Medicine
173000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.