NPI age
4 years
Enumerated 2021-09-15
● Active
Type 1 · Individual
Kenneth Michael Wetherholt, CSFA
Wetherholt is 1 of 7 military health care provider providers in San Antonio and 1 of 70 in Texas.
Primary specialty
Military Health Care Provider
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 70 active military health care provider providers in Texas.
NPI age
4 years
↓ 11 yr below median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 2% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Practice location
8626 Tesoro Dr Ste 502
San Antonio, TX 782176217
Mailing address
102 Deerwood Dr
Groton, CT 063402516
Specialties
-
Military Health Care Provider PrimaryA 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...
-
Specialist/Technologist, OtherA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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