Individual provider · Type 1 NPI

Kenneth Madsen, MD

Vascular Surgery Physician · Boise, ID

NPI number 1164412862 Active

Practice location

1075 N Curtis Rd Ste 101
Boise, ID 83706-1348

Call (208) 302-2800 Map

Fax (208) 302-2825

Mailing address

3810 Northdale Blvd, Ste 150
Tampa, FL 33624-1871

Other practice locations

  • 208 Cox Blvd Ste 201, Goldsboro, NC 27534-9414 · (919) 587-3333

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X6720A (WY)
Surgery Physician 208600000X2018-01195 (NC)
Vascular Surgery Physician 2086S0129X6720A (WY)
Vascular Surgery Physician Primary 2086S0129XM-12372 (ID)
Vascular Surgery Physician 2086S0129XME153722 (FL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

7 other providers at this address

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About NPI 1164412862

Kenneth Madsen, MD's National Provider Identifier is 1164412862, issued on Oct 24, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Boise, ID. The record was last updated on Oct 24, 2023.