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

Horizon Healthcare, Inc

Organization General Practice Physician · NPI 1720492309

Horizon Healthcare, Inc is a General Practice Physician in Kenosha, Wisconsin. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (414) 376-5577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1720492309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darren Matavka — Executive Vice President · (414) 376-5577
NPI enumeratedJune 11, 2014
Last updated in NPPESJune 11, 2014
Mailing address4650 S Howell Ave, Milwaukee, WI 53207-5906

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