KENNETH MICHAEL WETHERHOLT CSFA
NPI 1073283693
Military Health Care Provider - Independent Duty Corpsman in Silverdale, WA

Q: What is Kenneth Wetherholt's NPI number?

The NPI number for Kenneth Wetherholt is 1073283693. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Q: What is Kenneth Wetherholt's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since September 15, 2021

2050 BARB ST, SILVERDALE, WA 98315(360) 396-4209 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Michael Wetherholt Csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MICHAEL WETHERHOLT CSFA (NPI 1073283693) is an individual independent duty corpsman provider in Silverdale, Washington and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1073283693

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameKENNETH MICHAEL WETHERHOLTCredential: CSFA

Location Address2050 BARB STSilverdale, WA 98315-2050

Mailing Address3093 Bonefish Cir Apt M12Silverdale, WA 98315-9727 · (850) 554-2346

Phone(360) 396-4209

Sole ProprietorYes

Enumeration DateSeptember 15, 2021

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1073283693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

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 other supporting forces such as contractors and foreign nationals.

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 194476

2050 BARB ST, Silverdale, WA 98315

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK GILBERT YOUNG DMD

Dentist (General Practice)

2050 BARB ST, SUITE B
SILVERDALE, WA 98315

Kitsap County (360) 315-4287

COLLIN BARKER DDS

Dentist (General Practice)

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (360) 315-4287

BRIAN STADTHER

Military Health Care Provider (Independent Duty Corpsman)

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (360) 315-4374

TRACY ROWLEY RDH

Dental Hygienist

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (360) 315-4287

DR. MICHAEL ANTHONY SMITH D.D.S.

Dentist (General Practice)

2050 BARB ST, SUITE #B
SILVERDALE, WA 98315

Kitsap County (360) 315-4287

ROBERT JOHN RIPPS SUBMARINE IDC

Military Health Care Provider (Independent Duty Corpsman)

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (360) 315-6343

STEVEN SHERMAN DO

Preventive Medicine (Undersea and Hyperbaric Medicine)

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (619) 850-3790

ROBERT BLACKMON M.D.

Military Health Care Provider

2050 BARB ST
SILVERDALE, WA 98315

Kitsap County (360) 315-4391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Wetherholt's NPI number?

The NPI number for Kenneth Wetherholt is 1073283693. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Kenneth Wetherholt located?

Kenneth Wetherholt practices at 2050 Barb St, Silverdale, WA 98315. The listed phone number is (360) 396-4209.

What is Kenneth Wetherholt's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kenneth Wetherholt was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.