Kenneth John Detrick in Advance - Psychiatry
Kenneth John Detrick - NPI 1023265956
Kenneth John Detrick is a Psychiatry in Advance, North Carolina. Kenneth John Detrick practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth John Detrick is 1023265956. The last update date is 2008-08-21.
Kenneth John Detrick's current location address is 159 Keswick Dr, Advance, North Carolina. You can contact this provider via phone number 3369980638. The mailing address for Kenneth John Detrick is 159 Keswick Dr, Advance, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth John Detrick |
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Address | 159 Keswick Dr, Advance, North Carolina |
Phone Number | 3369980638 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1023265956 |
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Provider Enumeration Date | 2008-08-21 |
Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
Address | 159 Keswick Dr |
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City | Advance |
State | North Carolina (NC) |
Post Code | 270067271 |
Phone Number | 3369980638 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 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 |
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What is the unique 10-digit identification code issued to Kenneth John Detrick by the Centers for Medicare & Medicaid Services?
The Kenneth John Detrick has been assigned the NPI (National Provider Identifier) 1023265956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kenneth John Detrick is located?
The Kenneth John Detrick is situated at the following address: 159 Keswick Dr, Advance, NC, 270067271.
What is Kenneth John Detrick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth John Detrick is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023265956 to Kenneth John Detrick?
The Kenneth John Detrick received its 1023265956 assignment from the Centers for Medicare & Medicaid Services on 2008-08-21.
When was the information related to Kenneth John Detrick most recently updated or refreshed?
The details pertaining to the Kenneth John Detrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY