MEDICARE: KELLI-LEE KIMONE HARFORD PH.D.

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	103T00000X	Psychologist	2765-57	WI
2	103TC0700X	Clinical Psychologist	PSY004160	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2765-57	OTHER	WI	PSYCHOLOGIST

General Provider Information

NPI Number	:	1750533303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI-LEE KIMONE HARFORD PH.D.

Provider Business Mailing Address
First Line	:	1605 CHANTILLY DR NE STE 105
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3267
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 CHANTILLY DR NE STE 105
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3267
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:

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

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	03/17/2018

Similar Medicare Providers

1750048849 — JENNIFER NICOLE COOPER PMHNP-BC
Practice Location Address:

1605 CHANTILLY DR NE
ATLANTA, GA
30324-3267

Practice Phone: 404-785-7878
Practice Fax:

1881780120 — DR. PUJA K MEHTA MD
Practice Location Address:

1605 CHANTILLY DR NE FL 3
ATLANTA, GA
30324-3267

Practice Phone: 404-778-2746
Practice Fax:

1194815795 — ADISESHU V. GUNDLAPALLI MD, PHD
Practice Location Address:

1605 CHANTILLY DR NE STE 392
ATLANTA, GA
30324-3267

Practice Phone: 404-778-3261
Practice Fax:

1568639466 — DR. SANTHOSH KUMAR BANGALORE VASANTHA KUMAR M.D
Practice Location Address:

1605 CHANTILLY DR NE
ATLANTA, GA
30324-3267

Practice Phone: 804-517-2232
Practice Fax: 404-778-4431

1760700603 — SUMIT VERMA M.D.
Practice Location Address:

1605 CHANTILLY DR NE
ATLANTA, GA
30324-3267

Practice Phone: 646-934-0936
Practice Fax:

1447546296 — TRISHA SHETH ACNP
Practice Location Address:

1605 CHANTILLY DR NE
ATLANTA, GA
30324-3267

Practice Phone: 404-257-0006
Practice Fax: 404-851-1316

Directions to “ KELLI-LEE KIMONE HARFORD PH.D.” 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.