Healthcare Provider Details

I. General information

NPI: 1770095648
Provider Name (Legal Business Name): DR. ALEXA KYLE MARTINEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA KYLE POOL

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

30090 PERSIMMON DR
WESTLAKE OH
44145-5150
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax:
Mailing address:
  • Phone: 330-651-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03237268
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: