Individual
KELLY DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
428 E 4TH ST, CHARLOTTE, NC 28202-2434
(617) 413-2867
Mailing address
428 E 4TH ST, CHARLOTTE, NC 28202-2434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
883192
—
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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