Kenneth Madsen
Surgeon Vascular Surgeon
208 Cox Blvd Ste 201
Goldsboro
, North Carolina 27534-9414
Kenneth Madsen
Surgeon Vascular Surgeon
208 Cox Blvd Ste 201
Goldsboro
, North Carolina 27534-9414
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Kenneth Madsen
- 3810 Northdale Blvd Ste 150
- Tampa, FL
- Zip : 33624-1871
- Phone :
Second Address
- Kenneth Madsen
- 208 Cox Blvd Ste 201
- Goldsboro, NC
- Zip : 27534-9414
- Fax : (919) 587-3334
- Phone : (919) 587-3333
Reviews
FAQs
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What is Kenneth Madsen ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2018-01195 | NC |
| N | 208600000X | Surgeon | 2018-01195 | NC |
| N | 208200000X | Surgeon | 6720A | WY |
| N | 208600000X | Surgeon | 6720A | WY |
| N | 2086S0129X | Vascular Surgeon | 6720A | WY |
| Y | 2086S0129X | Vascular Surgeon | ME153722 | FL |
National Provider Identifier
| NPI | 1164412862 |
|---|---|
| Provider Name | Kenneth Madsen |
| First Address | Tampa, FL 33624-1871 |
| Second Address | Goldsboro, NC 27534-9414 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 30/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01371657 | (05) | CO |
| 121692900 | (05) | WY |
| G71455 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.