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

Dr. Kenyatta Victoria Dean, DO

Individual provider Family Medicine Physician · NPI 1710964440

Dr. Kenyatta Victoria Dean, DO is a Family Practice in Duluth, Georgia. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1997, 29 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
29
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
GA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3650 Steve Reynolds Blvd Dept OF Internal Medicine Team A
Duluth, GA 30096-4506
Phone: (770) 931-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 052265 (GA)

Record details

NPI number1710964440
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESJanuary 13, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1997 (29 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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