Provider Demographics
NPI:1578332714
Name:CHANEY, RYANN KENZIE BROOKE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:RYANN
Middle Name:KENZIE BROOKE
Last Name:CHANEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:RYANN
Other - Middle Name:BROOKE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:736 BENSON DR APT 2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-5623
Mailing Address - Country:US
Mailing Address - Phone:859-353-2251
Mailing Address - Fax:
Practice Address - Street 1:3101 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1599
Practice Address - Country:US
Practice Address - Phone:859-268-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4012917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty