Karlton James Bethea, IDC
Individual provider Active NPI Independent Duty Corpsman · Ridgecrest, CA
NPI 1700061322 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1700061322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 249 E Upjohn Ave
Ridgecrest, CA 93555-4175 - Phone
- (757) 773-1888
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
249 E Upjohn Ave
Ridgecrest, CA 93555-4175
Mailing address
249 E Upjohn Ave
Ridgecrest, CA 93555-4175
Phone (757) 773-1888
Other providers in Ridgecrest, CA
- Lara Belongia
- Bema Quick Care Medical Clinic, Inc
- Angela Benadom
- Aletha S Benson
- Jon Carsten Bergh
- Lacinda Beyes
- Pamela Gail Bezanson-Soard
- Kari Aletha Bilson
- Christy Binder
- Bishop & Associates Physical Therapy LLC
All providers in Ridgecrest, CA · Independent Duty Corpsman in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.