Healthcare Provider Details

I. General information

NPI: 1164650214
Provider Name (Legal Business Name): TAMARA LEIGH KEMP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMARA L. KEMP MD

II. Dates (important events)

Enumeration Date: 06/28/2009
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIR
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

1330 ROCKBRIDGE AVE
NORFOLK VA
23508-1340
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-2883
  • Fax:
Mailing address:
  • Phone: 801-597-7127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101247921
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101247921
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: