NPI 1073283693

Kenneth Michael Wetherholt, CSFA

Practitioner Independent Duty Corpsman Silverdale, WA

Practice location

Address: 2050 Barb St, Silverdale, WA 98315-2050
Phone: (360) 396-4209
Mailing address: 3093 Bonefish Cir APT M12, Silverdale, WA 98315-9727

Registered specialties (2)

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Washington →

Surgical Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 194476

Other Specialist/Technologist, Other providers in Washington →

Registry record

NPI: 1073283693
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2021
Record last updated: 9 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.