Individual
KELLI DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 764-9535
Mailing address
201 CEDAR ST SE STE 405, ALBUQUERQUE, NM 87106-4924
(505) 764-9535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58106
NM
Other
Enumeration date
10/18/2019
Last updated
09/29/2022
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