Kenneth A Godwin, D.O.
Surgery, Plastic and Reconstructive Surgery in Yardley, PA. Individual provider (NPI-1).
NPI number1760633150
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1760633150
- Entity type
- Individual (NPI-1)
- Name
- Kenneth A Godwin
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2008
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | OS013816 | PA | Yes |
| 208600000X | Surgery | OS013816 | PA |
Other names
- Kenneth A Godwin (Professional Name)
Practice location
301 Oxford Valley RdSuite 903
Yardley, PA 19067-7706
Phone 267-399-9930 · Fax 267-399-9931
Mailing address
301 Oxford Valley RdSuite 903
Yardley, PA 19067-7706
Phone 267-399-9930 · Fax 267-399-9931
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