Individual provider · Type 1 NPI

Kelly Ledoux Godwin, PA-C

Physician Assistant · Appleton, WI

NPI number 1285136093 Active

Practice location

3925 N Gateway Dr
Appleton, WI 54913-7863

Call (920) 380-4999 Map

Fax (920) 380-4961

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 1601 Owen Dr, Fayetteville, NC 28304-3425 · (910) 678-0100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-07941 (NC)
Physician Assistant Primary 363A00000X8503 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285136093

Kelly Ledoux Godwin, PA-C's National Provider Identifier is 1285136093, issued on Mar 7, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Appleton, WI. The record was last updated on Oct 3, 2025.