Young, Martin Kenneth
Young, Martin Kenneth is an individual health care provider with primary practice located at 2940 Doctors Park Dr Children And Adolescents Clinic, Medford OR 97504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Young, Martin Kenneth can be contacted via phone (541) 779-1300.Contact Information
Primary practice address
2940 Doctors Park Dr Children And Adolescents Clinic
Medford OR 97504
Phone: (541) 779-1300
Fax: (541) 779-9171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD22188 | Oregon |
Profile Details
| NPI number | 1417953381 |
|---|---|
| LBN Legal business name | Young, Martin Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | May 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417953381 | NPPES |
| Oregon | MEDICAID | 138148 |
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