IndividualActive

Kenneth Madsen, MD

NPI 1164412862 · Vascular Surgery Physician · Boise, ID

Provider details

NPI number: 1164412862
Entity type: Individual
Primary specialty: Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 6720A (WY)

Vascular Surgery PhysicianPrimary2086S0129XLicense M-12372 (ID)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense 6720A (WY)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense 2018-01195 (NC)
Allopathic & Osteopathic Physicians
Vascular Surgery Physician2086S0129XLicense 6720A (WY)
Allopathic & Osteopathic Physicians
Vascular Surgery Physician2086S0129XLicense ME153722 (FL)
Allopathic & Osteopathic Physicians

1075 N Curtis Rd Ste 101

Boise, ID 83706-1348

Phone: (208) 302-2800

Fax: (208) 302-2825

Approximate (ZIP-level) locationGet directions

3810 Northdale Blvd

Tampa, FL 33624-1871

208 Cox Blvd Ste 201
Goldsboro, NC 27534-9414
Phone: (919) 587-3333
Fax: (919) 587-3334

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.