Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylene Jordan Ris

Individual provider Speech-Language Pathologist · NPI 1124997705

Kaylene Jordan Ris is a Speech-Language Pathologist in Rockaway Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

320 Beach 104th St
Rockaway Park, NY 11694-2782
Phone: (718) 474-6918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 036180-01 (NY)

Record details

NPI number1124997705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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