Provider Demographics
NPI:1164268728
Name:CAUDILL, CHEYANNE LE'KAY (CSA, CST)
Entity type:Individual
Prefix:
First Name:CHEYANNE
Middle Name:LE'KAY
Last Name:CAUDILL
Suffix:
Gender:F
Credentials:CSA, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 14TH ST SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-6576
Mailing Address - Country:US
Mailing Address - Phone:772-643-2531
Mailing Address - Fax:
Practice Address - Street 1:470 14TH ST SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-6576
Practice Address - Country:US
Practice Address - Phone:772-643-2531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant