Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology and Endocrinology LLC

Organization Dermatology Physician · NPI 1114999018

Dermatology and Endocrinology LLC is a Dermatology Physician in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 E Orman Ave Ste 115
Pueblo, CO 81004-3500
Phone: (719) 564-4500
Fax: (719) 564-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 26083 (CO)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 26084 (CO)

Record details

NPI number1114999018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Dernovsek — Owner · (719) 564-4500
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJanuary 11, 2016
Mailing address1925 E Orman Ave, Ste 115, Pueblo, CO 81004-3537

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