# HENRY C. GOODMAN, M.D. PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851513170
- **Authorized official:** DR. HENRY CARL GOODMAN M.D. (NEUROLOGIST)
- **Authorized official phone:** (606) 329-2823

## Contact information

- **Practice address:** 2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2823
- **Practice address phone:** (606) 329-2823
- **Practice address fax:** (606) 324-6291
- **Mailing address:** 2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2823
- **Mailing address phone:** (606) 329-2823
- **Mailing address fax:** (606) 324-6291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 23890 | KY | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 04/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0439869 | — | OH |
| 05 | — | 64238900 | — | KY |