Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenyetta T Ellis-Williams

Individual provider Registered Nurse · NPI 1104713403

Kenyetta T Ellis-Williams is a Registered Nurse in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

4901 Spring Garden Dr Ste LL
Baltimore, MD 21209-4670
Phone: (410) 812-4253
Fax: (443) 249-9951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R225384 (MD)

Record details

NPI number1104713403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address4901 Spring Garden Dr Ste Ll, Baltimore, MD 21209-4670

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