Underwood, Kenneth Lee
Underwood, Kenneth Lee is an individual health care provider with primary practice located at 3015 Highway 95 Suite 105, Bullhead City AZ 86442-4334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Underwood, Kenneth Lee can be contacted via phone (928) 763-2001.Contact Information
Primary practice address
3015 Highway 95 Suite 105
Bullhead City AZ 86442-4334
Phone: (928) 763-2001
Fax: (928) 763-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1934 | Arizona |
Profile Details
| NPI number | 1629017900 |
|---|---|
| LBN Legal business name | Underwood, Kenneth Lee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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