Kenneth A Godwin D.O.

NPI 1760633150 - Surgery - 208600000X

NPI Details
NPI 1760633150
Gender Male
Enumeration Date 10/04/2008
Last Updated 10/20/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
3998 RED LION RD
SUITE 235
PHILADELPHIA PA, 19114-1445, US
Phone (215) 632-3630
Fax (215) 632-3544
Business Location
PO BOX 8500-6335
PHILADELPHIA PA, 19178-6335, US
Phone (215) 807-8000
Fax (215) 632-3544
Toxanomy
Taxonomy Code 208600000X
License State Pennsylvania
License Number OS013816
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According to our database, Kenneth A Godwin D.O. NPI is 1760633150, taxonomy code is 208600000X and license number is OS013816, license state is located at Pennsylvania. Kenneth A Godwin D.O. physically located at 3998 Red Lion Rd, Philadelphia PA, 19114-1445. NPI Number Kenneth A Godwin D.O. has the Individual type.

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1760633150 NPI number is provided on an as is basis without warranty of any kind. 1760633150 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Godwin D.O. are for informational purposes only.