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Organization
DR ROBERT I GOODMAN PSC
Active
Organization
DR ROBERT I GOODMAN PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN K BURTON (OFFICE MANAGER)
(859) 734-7709
Entity
Organization
Contact information
Practice address
517 LEGION DR, HARRODSBURG, KY 40330
(859) 734-7709
(959) 734-7700
Mailing address
517 LEGION DR, HARRODSBURG, KY 40330
(859) 734-7709
(959) 734-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263217
TRIGON BCBS
—
01
—
6563
KY LICENSE
KY
01
—
E933
BCBS FED
KY
Enumeration date
10/23/2006
Last updated
08/22/2020
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