Healthcare Provider Details

I. General information

NPI: 1881854362
Provider Name (Legal Business Name): JANET LEE KEMP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 GREEN RD STE 102
BEACHWOOD OH
44122-5715
US

IV. Provider business mailing address

4740 BRAINARD RD
CHAGRIN FALLS OH
44022-1508
US

V. Phone/Fax

Practice location:
  • Phone: 216-220-7247
  • Fax: 202-838-0712
Mailing address:
  • Phone: 216-220-7247
  • Fax: 202-838-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35087981
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35087981
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: