KYLER MATT BLACK M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177692

License Status

ACTIVE

Business

Title

M.D.

First Name

KYLER

Middle

MATT

Last Name

BLACK

Business Name

KYLER MATT BLACK M.D.

Original Issue Date

10/28/2025

Effective Date

10/28/2025

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

84780

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/28/2025