KEVIN NATHANIEL BLYTHE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165380

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

NATHANIEL

Last Name

BLYTHE

Business Name

KEVIN NATHANIEL BLYTHE MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

EL PASO

State

Zip

79928

Ever Disciplined

LastModifiedDate

05/24/2024