Healthcare Provider Details

I. General information

NPI: 1417953381
Provider Name (Legal Business Name): MARTIN KENNETH YOUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 SW 11TH ST
OCALA FL
34471-0968
US

IV. Provider business mailing address

221 SW 11TH ST
OCALA FL
34471-0968
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-2320
  • Fax:
Mailing address:
  • Phone: 352-671-2320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD22188
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME180019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: