Individual
MCKENSY MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7575
Mailing address
2496 BAUER RD, SAN DIEGO, CA 92126
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102208864
VA
Other
Enumeration date
03/13/2023
Last updated
08/09/2025
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