Individual provider · Type 1 NPI
Kenyon Coston Johnson
Adult Health Nurse Practitioner · Baltimore, MD
NPI number
1093576308
Active
Practice location
1 E 31st St # 200
Baltimore, MD 21218-3902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R239533 (MD) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R239533 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1093576308
Kenyon Coston Johnson's National Provider Identifier is 1093576308, issued on Jan 23, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Feb 19, 2026.