Individual provider · Type 1 NPI

Kenneth Lee Underwood, PA-C

Physician Assistant · Bullhead City, AZ

NPI number 1629017900 Active

Practice location

3015 Highway 95, Suite 105
Bullhead City, AZ 86442-4334

Call (928) 763-2001 Map

Fax (928) 763-2038

Mailing address

PO Box 20828
Bullhead City, AZ 86439-0828

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1934 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629017900

Kenneth Lee Underwood, PA-C's National Provider Identifier is 1629017900, issued on Jun 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bullhead City, AZ. The record was last updated on Jul 13, 2026.