Provider Demographics
NPI:1235490913
Name:HARPER, KINIYA
Entity Type:Individual
Prefix:MS
First Name:KINIYA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7052
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-7052
Mailing Address - Country:US
Mailing Address - Phone:229-815-6374
Mailing Address - Fax:
Practice Address - Street 1:209 MURPHY MILL RD
Practice Address - Street 2:APT. D
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-4786
Practice Address - Country:US
Practice Address - Phone:229-815-6374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional