Individual
KELLY C DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
600 HOSPITAL DR, MONROE, NC 28112-6000
(980) 993-2880
Mailing address
600 HOSPITAL DR, MONROE, NC 28112-6000
(980) 993-2880
(980) 993-2881
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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