Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH A GODWIN, D.O.
Active Sole ProprietorKENNETH A GODWIN, D.O. is a Plastic and Reconstructive Surgery healthcare provider located in YARDLEY, Pennsylvania. NPI 1760633150 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · YARDLEY, PA
Registration Details
- NPI Number
- 1760633150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2008 (17.874736122897 yrs)
- Last Updated
- Jun 23, 2021
- Licenses
-
OS013816 (PA)OS013816 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 OXFORD VALLEY RDSUITE 903YARDLEY, PA, 190677706Browse PA providers · Browse ZIP 19067
- Phone
- 2673999930
- Fax
- 2673999931
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.