Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MICHAEL WETHERHOLT, CSFA
Active Sole ProprietorKENNETH MICHAEL WETHERHOLT, CSFA is a Independent Duty Corpsman healthcare provider located in SAN ANTONIO, Texas. NPI 1073283693 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1073283693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2021 (4.7306441532006 yrs)
- Last Updated
- Jul 31, 2025
- License
-
194476
- Sole Proprietor
- Yes
Practice Information
- Address
-
8626 TESORO DR STE 502SAN ANTONIO, TX, 782176217Browse TX providers · Browse ZIP 78217
- Phone
- 2104962222
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
- Additional Specialty
- Independent Duty Corpsman
Other Independent Duty Corpsman Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| MR. GIL J CERROS | — | 1801864616 |
| MR. HUGO JESUS VALDEZ | IDC | 1063625911 |
| MARTIN WERNER | INDEPENDANT DUTY COR | 1831515147 |
| ALBERTO GONZALEZ | — | 1699144428 |
| NEIL MARTIN CATALINE | IDC | 1275032724 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.