License holder summary

Derik Kenneth Kenworthy PA is a Physician Assistant licensed to practice in Arizona. The address on file for Derik Kenneth Kenworthy PA is Mountain Vista Medical Center, Emergency Department, 1301 S Crismon Rd, Mesa AZ 85209. This licensed professional license is current. The license was granted 09/10/2009.

Arizona

Board of Licensing

Derik Kenneth Kenworthy PA
Physician Assistant
License number
4489
Date granted
09/10/2009
Class
Physician Assistant
Status
Active
Address
Mountain Vista Medical Center, Emergency Department, 1301 S Crismon Rd, Mesa AZ 85209
arizonalicensing.com
ID 22729760
LAST UPDATED 2024-03-08 22:38:13 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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