Provider Demographics
NPI:1982460135
Name:CAO, KAYLE
Entity type:Individual
Prefix:
First Name:KAYLE
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17577 NASSAU COMMONS BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-6288
Mailing Address - Country:US
Mailing Address - Phone:302-645-7603
Mailing Address - Fax:
Practice Address - Street 1:17577 NASSAU COMMONS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-6288
Practice Address - Country:US
Practice Address - Phone:302-645-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003216231H00000X
DEO2-0010316231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist