National Provider Identifier

Kenneth Leon Dean Jr., D.O.

Kenneth Leon Dean Jr., D.O. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Ithaca, NY and a listed phone number of (607) 266-7800.

NPI 1053708164Ithaca, NYObstetrics & Gynecology Physician

Profile Overview

NPI
1053708164
Provider Type
Individual
Primary Specialty
Obstetrics & Gynecology Physician
Enumeration Date
April 16, 2015
Last Updated
July 19, 2019

Practice Location

  • 20 Arrowood Dr
  • Ithaca, NY 14850

Phone: (607) 266-7800

Mailing Address

  • 20 Arrowood Dr
  • Ithaca, NY 14850-1869

Specialties

  • Obstetrics & Gynecology Physician (207V00000X)
Full Record
NPI
1053708164
Entity Type
Individual
Last Name
Dean
First Name
Kenneth
Middle Name
Leon
Name Suffix
Jr.
Credential
D.O.
Mailing Street Address
20 Arrowood Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1869
Mailing Country
US
Mailing Phone
(607) 266-7800
Practice Street Address
20 Arrowood Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 266-7800
Enumeration Date
April 16, 2015
Last Updated
July 19, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Obstetrics & Gynecology Physician (207V00000X)