Individual provider · Type 1 NPI

Kenneth Michael Wetherholt, CSFA

Independent Duty Corpsman · Silverdale, WA

NPI number 1073283693 Active

Practice location

2050 Barb St
Silverdale, WA 98315-2050

Call (360) 396-4209 Map

Mailing address

3093 Bonefish Cir Apt M12
Silverdale, WA 98315-9727

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed
Surgical Assistant 246ZC0007X194476

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1073283693

Kenneth Michael Wetherholt, CSFA's National Provider Identifier is 1073283693, issued on Sep 15, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Silverdale, WA. The record was last updated on Jun 9, 2026.