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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH LEE UNDERWOOD, PA-C

Active

MR. KENNETH LEE UNDERWOOD, PA-C is a Physician Assistant healthcare provider located in BULLHEAD CITY, Arizona. NPI 1629017900 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BULLHEAD CITY, AZ

Registration Details

NPI Number
1629017900
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.150506087139 yrs)
Last Updated
Jul 8, 2007
License
1934 (AZ)

Practice Information

Address
3015 HIGHWAY 95
SUITE 105
BULLHEAD CITY, AZ, 864424334
Browse AZ providers · Browse ZIP 86442
Phone
9287632001
Fax
9287632038
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BULLHEAD CITY, AZ

Name Credential NPI
KITRIN LANCE CARPENTER PA-C 1033118849
CHRISTOPHER J BERG PA-C 1699738229
LARRY JOSEPH KEATING PAC 1215965488
BARNEY BAILEY FOSTER PAC 1821026626
DARLENE M LEFTWICH PA 1285761882
MS. DELORANN COSSETTE PA C 1942411418
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.