Provider Demographics
NPI:1215726997
Name:CAULEY, DELANEY RYLEY GAGE
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:RYLEY GAGE
Last Name:CAULEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2211
Mailing Address - Country:US
Mailing Address - Phone:502-977-9007
Mailing Address - Fax:
Practice Address - Street 1:963 S 2ND ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2211
Practice Address - Country:US
Practice Address - Phone:502-977-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist