Kenneth Michael Wetherholt, CSFA
Kenneth Michael Wetherholt, CSFA is an Independent Duty Corpsman in Silverdale, Washington. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2050 Barb StSilverdale, WA 98315-2050
Phone: (360) 396-4209
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 194476 |
Record details
| NPI number | 1073283693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSFA |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
| Mailing address | 3093 Bonefish Cir Apt M12, Silverdale, WA 98315-9727 |
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