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Individual
KELLY C DESMOND
Active
Individual
KELLY C DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
934551
IL
133V00000X
Registered Dietitian
Primary
934551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010116147
—
VA
Enumeration date
09/21/2006
Last updated
04/22/2026
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