MEDICARE: KINYATAL HARVEY I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1588080188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KINYATAL HARVEY I

Provider Business Mailing Address
First Line	:	185 STRINGER WEEKS RD
Second Line	:
City	:	SMITHS STATION
State	:	AL
Zip	:	36877-2325
Country	:	US
Telephone Number	:	334-560-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 13TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2246
Country	:	US
Telephone Number	:	888-963-2228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	07/21/2023

Similar Medicare Providers

1588522775 — TEMIA HILL
Practice Location Address:

1110 13TH ST STE D
COLUMBUS, GA
31901-2246

Practice Phone: 706-780-1704
Practice Fax:

1952577603 — JENNIFER ELLIS
Practice Location Address:

1110 13TH ST
COLUMBUS, GA
31901-2246

Practice Phone: 706-780-1704
Practice Fax:

1467600460 — MRS. SONYA DENISE GREGG
Practice Location Address:

1110 13TH ST
COLUMBUS, GA
31901-2246

Practice Phone: 706-780-1704
Practice Fax:

1932494754 — SAMANTHA LEE BRODERICK BCBA
Practice Location Address:

1110 13TH ST STE D
COLUMBUS, GA
31901-2246

Practice Phone: 706-780-1704
Practice Fax: 706-780-1705

1699052753 — MISS FLORA IDA JONES OCN, APRN-BC
Practice Location Address:

1110 13TH ST
COLUMBUS, GA
31901-2246

Practice Phone: 706-780-1704
Practice Fax:

1558600049 — MRS. TRACY LYNN SMITH BCBA
Practice Location Address:

1110 13TH ST STE D
COLUMBUS, GA
31901-2246

Practice Phone: 888-963-2228
Practice Fax: 706-780-1705

Directions to “ KINYATAL HARVEY I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.