IndividualActive
Kenneth Detrick, M.D.
NPI 1023265956 · Psychiatry Physician · Winston Salem, NC
Kenneth Detrick, M.D. is a Psychiatry Physician provider in Winston Salem, NC (NPI 1023265956).
Provider details
- NPI number
- 1023265956
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9500884 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
190 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 768-3296
Street-level locationGet directions
Mailing address
159 Keswick Dr
Advance, NC 27006-7271
Registry dates
- Enumerated
- 2008-08-21
- Last updated
- 2008-08-21
Frequently asked questions
- What is Kenneth Detrick's NPI number?
- Kenneth Detrick's National Provider Identifier (NPI) is 1023265956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Detrick's specialty?
- Kenneth Detrick is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Detrick located?
- Kenneth Detrick's practice location on file with NPPES is 190 Kimel Park Dr, Winston Salem, NC 27103-6946.
- What is Kenneth Detrick's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Detrick is (336) 768-3296.
- Is Kenneth Detrick's NPI active?
- Yes — Kenneth Detrick's NPI (1023265956) is active in the NPPES registry as of the last update on 2008-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.