Individual
DR. KERRIANN BOANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG205706
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
3271773
ID
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD210011692
DC
Other
Enumeration date
04/01/2020
Last updated
10/29/2025
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