Dr Kenneth John Detrick, MD in Winston Salem, NC - Psychiatry & Neurology

Dr Kenneth John Detrick, MD is a Psychiatry & Neurology - Psychiatry physician based in Winston Salem, North Carolina. Dr Kenneth John Detrick is licensed to practice in North Carolina (license number 9500884) and his current practice location is 190 Kimel Park Dr, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 768-3296.

NPI number for Dr Kenneth John Detrick is 1023265956 and his current mailing address is 159 Keswick Dr, Advance, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023265956.

Contact Information

	Dr Kenneth John Detrick, MD
	190 Kimel Park Dr, Winston Salem, NC 27103-6946
	(336) 768-3296
	Not Available

Physician's Profile

Full Name	Dr Kenneth John Detrick
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	190 Kimel Park Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023265956
Provider Enumeration Date: 08/21/2008
Last Update Date: 08/21/2008

Medical Identifiers

Medical identifiers for Dr Kenneth John Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023265956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	9500884 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth John Detrick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth John Detrick, MD 159 Keswick Dr, Advance, NC 27006-7271 Ph: (336) 998-0638	Dr Kenneth John Detrick, MD 190 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (336) 768-3296

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Psychiatry & Neurology Doctors in Winston Salem, NC

William Tyler Cecil, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Department Of Psychiatry, 791 Jonestown Road, Winston Salem, NC 27103 Phone: 336-716-4551 Fax: 336-716-9642
Dr. James Dwight Mattox Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2990 Bethesda Pl, Suite 602 A, Winston Salem, NC 27103 Phone: 336-768-8281 Fax: 336-768-5685
Eugene Mindel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Aarti Sarwal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 716-336-9016
Scott Saucedo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7224 Fax: 336-718-7598
Nancy S Gaby, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Bethesda Place, Ste 101, Winston Salem, NC 27103 Phone: 336-765-9750 Fax: 336-765-9710

Dr Kenneth John Detrick, MD - Psychiatry & Neurology in Winston Salem, NC