Individual
KURTIS LEE DEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
238 BROOKLEY AVE, BOLLING AFB, DC 20332-0001
(202) 404-3603
Mailing address
6703 ORDSALL ST, ALEXANDRIA, VA 22315-5559
(703) 971-7339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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