Provider Demographics
NPI:1437543097
Name:KEMP, KATHLEEN SKYE (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:SKYE
Last Name:KEMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:SKYE
Other - Last Name:WHITBREAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2400 S CLINTON AVE STE G2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2636
Mailing Address - Country:US
Mailing Address - Phone:585-341-7685
Mailing Address - Fax:585-341-4220
Practice Address - Street 1:2400 S CLINTON AVE STE G2
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-341-7685
Practice Address - Fax:585-341-4220
Is Sole Proprietor?:No
Enumeration Date:2015-03-22
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine