Organization · Type 2 NPI

Gevinah Healthcare SC

Geriatric Medicine (Family Medicine) Physician · Kenosha, WI

NPI number 1134907173 Active

Practice location

3100 Washington Rd
Kenosha, WI 53144-1604

Mailing address

15910 Ventura Blvd Ste 1701
Encino, CA 91436-2816

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

15 other providers at this address

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About NPI 1134907173

Gevinah Healthcare SC's National Provider Identifier is 1134907173, issued on Sep 20, 2023. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Kenosha, WI. The record was last updated on May 29, 2026.