KENNETH JOHN DETRICK

WINSTON SALEM, NC
NPI1023265956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NC  9500884)
Enumeration Date2008-08-21
Last Update Date2008-08-21
Business Address
DR. KENNETH JOHN DETRICK M.D.
190 KIMEL PARK DR
WINSTON SALEM, NC 27103-6946
Phone number: 336-768-3296
Mailing Address
DR. KENNETH JOHN DETRICK M.D.
159 KESWICK DR
ADVANCE, NC 27006-7271
Phone number: 336-998-0638
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