Individual
KERIANN LYNN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1025155
MA
208000000X
Pediatrics Physician
286566
NY
2080P0202X
Pediatric Cardiology Physician
Primary
1025155
MA
2080P0202X
Pediatric Cardiology Physician
Primary
286566
NY
Other
Enumeration date
03/27/2015
Last updated
01/15/2026
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