NPI 1114199189

Jason Edward Goodman, MD

Practitioner Obstetrics & Gynecology Physician Elizabethtown, KY

Practice location

Address: 1115 Woodland Dr, Elizabethtown, KY 42701-2749
Phone: (270) 769-5963
Fax: (270) 769-9051

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence R1967 (KY)

Other Obstetrics & Gynecology providers in Kentucky →

Registry record

NPI: 1114199189
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2008
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.