KENNETH LEE UNDERWOOD

BULLHEAD CITY, AZ
NPI1629017900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  1934)
Enumeration Date2006-06-05
Last Update Date2007-07-08
Business Address
Mr. KENNETH LEE UNDERWOOD PA-C
3015 HIGHWAY 95 SUITE 105
BULLHEAD CITY, AZ 86442-4334
Phone number: 928-763-2001
Mailing Address
Mr. KENNETH LEE UNDERWOOD PA-C
PO BOX 20828
BULLHEAD CITY, AZ 86439-0828
Phone number: 928-763-2001
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