Provider Demographics
NPI:1558814731
Name:KEMP, TANIA M (EDD)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:M
Last Name:KEMP
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:TANIA
Other - Middle Name:M
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ROBINSON
Mailing Address - Street 1:385 MARLBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215-3136
Mailing Address - Country:US
Mailing Address - Phone:313-404-3431
Mailing Address - Fax:
Practice Address - Street 1:7800 W OUTER DR STE 203
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3459
Practice Address - Country:US
Practice Address - Phone:313-259-1574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other