person
Kenisha Autumn Brannon, DMD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1578320206

Kenisha Autumn Brannon is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Kenisha Autumn Brannon practices in Boston, MA and has the professional credentials of DMD. The NPI Number for Kenisha Autumn Brannon is 1578320206 and holds a License No. (Massachusetts).

The current practice location address for Kenisha Autumn Brannon is 635 Albany St, Boston, MA and can be reached out via phone at 443-680-2982.

Location: 635 Albany St, Boston, MA, 02118-3550
person
Provider Profile Details
NPI Number
1578320206
Provider Name
Kenisha Autumn Brannon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
635 Albany St, Boston, MA, 02118-3550
Phone Number
443-680-2982
Fax Number
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
635 Albany St
City
State
Zip
02118-3550
Phone Number
443-680-2982
Fax Number
person
Provider Business Mailing Address Details
Address
635 Albany St
City
State
Zip
02118-3550
Phone Number
443-680-2982
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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