Individual
HENRY C GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2873
(606) 329-2823
(606) 324-6291
Mailing address
2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2873
(606) 329-2823
(606) 324-6291
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23890
KY
2084N0400X
Neurology Physician
35045570
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439869
—
OH
05
—
64238900
—
KY
Enumeration date
08/11/2005
Last updated
01/08/2010
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