Individual provider · Type 1 NPI
Kenyetta T. Ellis-Williams
Registered Nurse · Baltimore, MD
Practice location
4901 Spring Garden Dr Ste Ll
Baltimore, MD 21209-4670
Fax (443) 249-9951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | R225384 (MD) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1104713403
Kenyetta T. Ellis-Williams's National Provider Identifier is 1104713403, issued on Jun 19, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 19, 2025.