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

Kenneth Leon Dean Jr., DO

Individual provider Obstetrics & Gynecology Physician · NPI 1053708164

Kenneth Leon Dean Jr., DO is an Obstetrics/Gynecology in Ithaca, New York. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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

20 Arrowood Dr
Ithaca, NY 14850
Phone: (607) 266-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 Arrowood Dr, Ithaca, NY 14850 — (607) 266-7800

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 297664-1 (NY)

Record details

NPI number1053708164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2015
Last updated in NPPESJuly 19, 2019
Mailing address20 Arrowood Dr, Ithaca, NY 14850-1869

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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