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

Samson Kernisant

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154217222

Samson Kernisant is a Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

425 Pleasant St Ste 104
Brockton, MA 02301-2533
Phone: (508) 269-9695
Fax: (508) 425-3048
Show map & directions

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 number1154217222
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address425 Pleasant St Ste 104, Brockton, MA 02301-2533

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