Individual
DR. KYLE D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
391 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1080
(740) 342-1784
(740) 342-1791
Mailing address
391 LINCOLN PARK DR, NEW LEXINGTON, OH 43764-1080
(740) 342-1784
(740) 342-1791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452164
—
OH
Enumeration date
05/08/2020
Last updated
08/31/2021
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