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

Kenisha Autumn Brannon, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578320206

Kenisha Autumn Brannon, DMD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

635 Albany St
Boston, MA 02118-3550
Phone: (443) 680-2982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578320206
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 28, 2024

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