NPI 1700061322
Karlton James Bethea, IDC
Practice location
- Address
- 249 E Upjohn Ave, Ridgecrest, CA 93555-4175
- Phone
- (757) 773-1888
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1700061322
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jan 2008
- Record last updated
- 2 Jan 2008
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.