Healthcare Provider Details

I. General information

NPI: 1235050550
Provider Name (Legal Business Name): KATHLEEN HARVIN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 W WESMARK BLVD
SUMTER SC
29150-1900
US

IV. Provider business mailing address

12165 LYNCHES RIVER RD
LYNCHBURG SC
29080-8785
US

V. Phone/Fax

Practice location:
  • Phone: 803-469-7500
  • Fax:
Mailing address:
  • Phone: 803-709-1217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32401
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: