Individual provider · Type 1 NPI

Kieyonna Ellison

Licensed Practical Nurse · Cincinnati, OH

NPI number 1649184045 Active

Practice location

11961 Chesterdale Rd
Cincinnati, OH 45246-2037

Fax (513) 296-7004

Mailing address

8371 Mayfair St
Cincinnati, OH 45216-1022

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X185326 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1649184045

Kieyonna Ellison's National Provider Identifier is 1649184045, issued on Oct 1, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 1, 2026.