Provider Demographics
NPI:1124330501
Name:KALASUNAS, SARA (PCD)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:KALASUNAS
Suffix:
Gender:F
Credentials:PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 IRVIN RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8507
Mailing Address - Country:US
Mailing Address - Phone:215-718-4853
Mailing Address - Fax:
Practice Address - Street 1:1015 IRVIN RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8507
Practice Address - Country:US
Practice Address - Phone:215-718-4853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula