Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOHN DETRICK, M.D.
Active Sole ProprietorDR. KENNETH JOHN DETRICK, M.D. is a Psychiatry healthcare provider located in WINSTON SALEM, North Carolina. NPI 1023265956 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1023265956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2008 (17.971684188942 yrs)
- Last Updated
- Aug 21, 2008
- License
-
9500884 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
190 KIMEL PARK DRWINSTON SALEM, NC, 271036946Browse NC providers · Browse ZIP 27103
- Phone
- 3367683296
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| DR. THERESA CATHERINE BURGESS | MD | 1477544377 |
| SURYA K CHALLA | M.D. | 1730162819 |
| DONALD WALTER PETERS | MD | 1194709162 |
| BURTON VICTOR REIFLER | MD | 1285618256 |
| STEPHEN IRWIN KRAMER | MD | 1154305100 |
| JAMES KIMBALL | MD | 1467436428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.