Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth A Godwin, DO

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1760633150

Kenneth A Godwin, DO is a Plastic and Reconstructive Surgery in Yardley, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

301 Oxford Valley Rd Ste 903
Yardley, PA 19067-7706
Phone: (267) 399-9930
Fax: (267) 399-9931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence OS013816 (PA)
Surgery Physician Taxonomy 208600000X · Licence OS013816 (PA)

Record details

NPI number1760633150
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 4, 2008
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address301 Oxford Valley Rd, Suite 903, Yardley, PA 19067-7706

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount