| Doctor Name: | KURTIS LEE DEAN |
| NPI Number: | 1427036193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 238 Brookley Ave Bolling Afb, DC - 203320001 |
| Business Phone Number: | 2024043603 |
| Business Fax Number: | |
| Mailing Address: | 6703 Ordsall St, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223155559 |
| Phone Number: | 7039717339 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |