KEVIN NATHANIEL BLYTHE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

NATHANIEL

Last Name

BLYTHE

Business Name

KEVIN NATHANIEL BLYTHE MD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

EL PASO

State

Zip

79928

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2024