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

Kevin Jenoy Ryan

Individual provider Community Health Worker · NPI 1316707268

Kevin Jenoy Ryan is a Community Health Worker in Santa Rosa, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Phone: (415) 861-0828
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1316707268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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