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

Kenneth Fan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801206750

Kenneth Fan, DO is an Obstetrics/Gynecology in Buffalo, New York. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2014, 12 years ago. Practices with Allsafe Medical Group Inc, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
NY
In the registry since
2014
Specialties on file
2
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

219 Bryant St University At Buffalo Dept OF Ob/gyn
Buffalo, NY 14222
Phone: (716) 878-7750
Fax: (716) 888-3833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 294548 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801206750
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESJune 28, 2018
Mailing address405 Admirals Walk, Buffalo, NY 14202-4333

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2014 (12 years in practice)
Group practice Allsafe Medical Group Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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