Individual
DR. HERBERT D LADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 MEADOWVIEW PARKWAY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5097
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15405
TN
207RI0011X
Interventional Cardiology Physician
15405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3007428
—
TN
05
—
5830656
—
VA
01
—
621112685
UNITED HEALTHCARE
TN
05
—
64775257
—
KY
Enumeration date
07/01/2006
Last updated
05/24/2017
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