To Dial Cayman Islands, you should start with dialing the KY international code +1 then the appropriate area code and the local number.

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How to dial Cayman Islands
Example phone dialings for Cayman Islands
Fixed Line(345) 222-1234+1 345-222-1234
Mobile(345) 323-1234+1 345-323-1234
Fixed Line Or Mobile(345) 222-1234+1 345-222-1234
Toll Free(800) 234-5678+1 800-234-5678
Premium Rate(900) 234-5678+1 900-234-5678
Personal Number(500) 234-5678+1 500-234-5678