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

Dr. Kenneth Osita Edmunds, MD

Individual provider Internal Medicine Physician · NPI 1265466213

Dr. Kenneth Osita Edmunds, MD is an Internal Medicine in Las Vegas, Nevada. Qualified in 1980, 46 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi, Nevada and Tennessee.

Years since qualifying
46
Licensed in
MS, NV, TN
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6210 N Durango Dr
Las Vegas, NV 89149-3916
Phone: (702) 940-1540
Fax: (702) 940-1541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 S Rainbow Blvd, Las Vegas, NV 89145 — (702) 259-0088

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16321 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 26192 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 14060 (MS)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 16321 (NV)

Record details

NPI number1265466213
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESOctober 18, 2022
Certification dateOctober 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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