DR. KENNETH JOHN DETRICK M.D.
NPI 1023265956
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Q: What is Kenneth Detrick's NPI number?

The NPI number for Kenneth Detrick is 1023265956. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Q: What is Kenneth Detrick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Detrick was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2008

190 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 768-3296 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth John Detrick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JOHN DETRICK M.D. (NPI 1023265956) is an individual psychiatry provider in Winston Salem, North Carolina, licensed in North Carolina (9500884) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1023265956

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KENNETH JOHN DETRICKCredential: M.D.

Location Address190 KIMEL PARK DRWinston Salem, NC 27103-6946

Mailing Address159 Keswick DrAdvance, NC 27006-7271 · (336) 998-0638

Phone(336) 768-3296

Sole ProprietorYes

Enumeration DateAugust 21, 2008

✔ NPI 1023265956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 9500884

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

190 KIMEL PARK DR, Winston Salem, NC 27103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIH-CHING LEE MD

Internal Medicine

190 KIMEL PARK DR
WINSTON-SALEM, NC 27103

Forsyth County (336) 768-3296

DEPARTMENT OF VETERANS AFFAIRS

General Acute Care Hospital

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (336) 768-3296

MS. JENNIFER LYNN HERB LCSW, LCAS

Social Worker (Clinical)

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (336) 768-3296

MR. WILLIAM BENJAMIN SMITH III PA-C

Physician Assistant (Medical)

190 KIMEL PARK DR
WINSTON-SALEM, NC 27103

Forsyth County (336) 794-8668

DR. CAREY VASTINE STABLER MD

General Practice

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (336) 768-3296

KAMBIZ C SOHEILI M.D., PH.D.

Internal Medicine (Geriatric Medicine)

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (919) 336-7683

TAMARA BURKS

Internal Medicine

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (336) 768-3296

ENRICO E PIVA D.O.

Family Medicine (Adult Medicine)

190 KIMEL PARK DR
WINSTON SALEM, NC 27103

Forsyth County (336) 768-3296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Detrick's NPI number?

The NPI number for Kenneth Detrick is 1023265956. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Kenneth Detrick located?

Kenneth Detrick practices at 190 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 768-3296.

What is Kenneth Detrick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Detrick was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.