Individual
KENYON COSTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E 31ST ST # 200, BALTIMORE, MD 21218-3902
(410) 516-8270
Mailing address
1 E 31ST ST # 200, BALTIMORE, MD 21218-3902
(410) 516-8270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R239533
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R239533
MD
Other
Enumeration date
01/23/2024
Last updated
02/19/2026
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