Kimberly Blanche Harrelson

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

74019 Issued in SC

Practice address

301-A Palmetto Park Boulevard
Lexington, SC 29072

Phone

(803) 359-3545

Fax

(803) 359-2111

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Harrelson Lesesne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1811310899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301-A PALMETTO PARK BOULEVARD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-3545",
            "fax_number": "803-359-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301-A PALMETTO PARK BOULEVARD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-3545",
            "fax_number": "803-359-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "KIMBERLY",
        "middle_name": "BLANCHE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "74019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LESESNE",
            "middle_name": "HARRELSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William H Harman, M.D.
• Craig Harmon, R.PH.
• Harmony Healthcare SC LLC
• Anne Morrison Harper, PA-C
• Beverly B. Harrell, MSW, LISW-CP
• Chloe Johnson Harris
• Jennifer Marie Harris, PHARMD
• Brittany L Harrison, LPC-A
• Lacquanta Alloneqkee Harrison
• Anna Hope Hartley, MSP

• Psychiatry Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.