Provider Demographics
NPI:1023816097
Name:CALANDRIA, KELLY (CAPPA, CPD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:CALANDRIA
Suffix:
Gender:
Credentials:CAPPA, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-7232
Mailing Address - Country:US
Mailing Address - Phone:540-424-7836
Mailing Address - Fax:
Practice Address - Street 1:31 NORFOLK ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-7232
Practice Address - Country:US
Practice Address - Phone:540-424-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4907374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula