Kenneth Wetherholt, CSFA
Kenneth Wetherholt, CSFA is a provider specialising in Independent Duty Corpsman in San Antonio, TX, registered under NPI 1073283693. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 8626 TESORO DR STE 502, San Antonio, TX 78217. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 194476 | Surgical Assistant |
Licences are recorded in 0 states: . Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Independent Duty Corpsman covers
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. NUCC Health Care Provider Taxonomy, code 1710I1002X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1710I1002X | Independent Duty Corpsman Independent Duty Corpsman | — | — | primary |
| 246ZC0007X | Surgical Assistant Surgical Assistant | 194476 | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1073283693 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 15, 2021 |
| Last updated | Jul 31, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | CSFA |
| Practice address |
8626 TESORO DR STE 502 San Antonio, TX 78217 (210) 496-2222 |
| Mailing address |
102 DEERWOOD DR Groton, CT 06340 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 2 | 8 | 3 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 4 | 8 | 6 | 6 | 9 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.