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Individual

CHANDLER RYAN MAZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1555 E NEW CIRCLE RD STE 190, LEXINGTON, KY 40509-1044
(859) 329-1181
Mailing address
661 N UPPER ST, LEXINGTON, KY 40508-1483
(859) 556-7401

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
305216
KY

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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