Kenneth Michael Wetherholt, CSFA
NPI #1073283693 in San Antonio, Texas
Provider Information
- NPI Number
- 1073283693
- Entity Type
- Individual
- Name
- Kenneth Michael Wetherholt, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- CSFA
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Jul 31, 2025
Practice Location
- Address
- 8626 TESORO DR STE 502
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78217-6217
- Phone
- (210) 496-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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