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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH LEE UNDERWOOD PA-C
NPI 1629017900
Physician Assistant in Bullhead City, AZ

Active since June 05, 2006
3015 HIGHWAY 95, SUITE 105, BULLHEAD CITY, AZ 86442(928) 763-2001(928) 763-2038 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Lee Underwood Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH LEE UNDERWOOD PA-C (NPI 1629017900) is an individual physician assistant in Bullhead City, Arizona, licensed in Arizona (1934) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629017900
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH LEE UNDERWOODCredential: PA-C
Location Address3015 HIGHWAY 95, SUITE 105Bullhead City, AZ 86442-4334
Mailing AddressPo Box 20828Bullhead City, AZ 86439-0828 · (928) 763-2001 · Fax (928) 763-2038
Phone(928) 763-2001
Fax(928) 763-2038
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629017900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 1934
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3015 HIGHWAY 95, Bullhead City, AZ 86442
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HORIZON HEALTHCARE PROFESSIONAL SERVICES LLC
Radiologic Technologist
3015 HIGHWAY 95, SUITE 107
BULLHEAD CITY, AZ 86442
Mohave County (702) 644-9250
FRANK NELSON, DDS, PC
Dentist (General Practice)
3015 HIGHWAY 95, SUITE 108A
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-9803
MICHAEL RAY PROCTOR DO
Dermatology
3015 HIGHWAY 95, #110
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-8885
DESERT PULMONOLOGY, LTD.
Internal Medicine (Pulmonary Disease)
3015 HIGHWAY 95, SUITE 106
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-9500
DR. PAIGE THERESA BAFUS DDS
Dentist
3015 HIGHWAY 95, SUITE 112
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-0008
JAVED MALIK M.D.
Internal Medicine
3015 HIGHWAY 95, SUITE 105
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2001
TEMPLE GUPTA PA-C
Physician Assistant (Medical)
3015 HIGHWAY 95
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-5055
WESTERN MOUNTAIN MEDICAL CENTER, PC
Internal Medicine
3015 HIGHWAY 95, SUITE 107 B
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-0433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Underwood's NPI number?

The NPI number for Kenneth Underwood is 1629017900. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Underwood located?

Kenneth Underwood practices at 3015 Highway 95 Suite 105, Bullhead City, AZ 86442. The listed phone number is (928) 763-2001.

What is Kenneth Underwood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Underwood was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.