Provider Demographics
NPI:1053643627
Name:KING, LADENE J (MD)
Entity type:Individual
Prefix:
First Name:LADENE
Middle Name:J
Last Name:KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LADENE
Other - Middle Name:JOY
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2291 EVELYN BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5424
Mailing Address - Country:US
Mailing Address - Phone:540-434-3831
Mailing Address - Fax:540-437-7451
Practice Address - Street 1:2291 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5424
Practice Address - Country:US
Practice Address - Phone:540-534-6335
Practice Address - Fax:833-574-4981
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200801177207V00000X
VA0101247391207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology