Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM K DERNOVSEK, MD
ActiveDermatology · PUEBLO, CO
Registration Details
- NPI Number
- 1497728786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2006 (20.199592916529 yrs)
- Last Updated
- Jan 11, 2016
- License
-
26084 (CO)
Practice Information
- Address
-
1925 E ORMAN AVESTE 115PUEBLO, CO, 810043537Browse CO providers · Browse ZIP 81004
- Phone
- 7195644500
- Fax
- 7195640304
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN JOSEPH SCHMIDT | MD | 1306846746 |
| SHARON MARRS KESSLER | MD | 1164414801 |
| KRYSTAL J HOLDERNESS NAKAMURA | M.D. | 1669442422 |
| JUDITH L. MCGUINN | M.D. | 1942324751 |
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.