Kenyetta T Ellis-Williams
Registered Nurse in Baltimore, MD. Individual provider (NPI-1).
NPI number1104713403
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1104713403
- Entity type
- Individual (NPI-1)
- Name
- Kenyetta T Ellis-Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2025
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R225384 | MD | Yes |
Practice location
4901 Spring Garden Dr Ste LlBaltimore, MD 21209-4670
Phone 410-812-4253 · Fax 443-249-9951
Mailing address
4901 Spring Garden Dr Ste LlBaltimore, MD 21209-4670
Phone 410-812-4253 · Fax 443-249-9951
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