Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth John Detrick, MD

Individual provider Psychiatry Physician · NPI 1023265956

Dr. Kenneth John Detrick, MD is a Psychiatry Physician in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

190 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 768-3296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9500884 (NC)

Record details

NPI number1023265956
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 21, 2008
Last updated in NPPESAugust 21, 2008

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