Active NPI
Kevin Kunz, MD
- Addiction Medicine (Family Medicine) Physician
- Kailua Kona, HI
National Provider Identifier
1154356160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD4036
- Practice address
- 75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705 - Phone
- (808) 326-5629
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD-4036 | HI | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD4036 | HI | Primary |
Addresses
Primary practice location
75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705
Mailing address
PO Box 1277
Kealakekua, HI 96750-1277
Phone (808) 327-4848
Other practice location 1
81-937 Halekii St
Suite 2
Kealakekua, HI 96750-8182
Phone (808) 327-4848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49067001 | Medicaid | HI | |
| 490673 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4036 | HI | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1154356160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1277",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967501277",
"telephone_number": "808-327-4848",
"fax_number": "808-327-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY STE 101A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401705",
"telephone_number": "808-326-5629"
}
],
"practiceLocations": [
{
"address_1": "81-937 Halekii St",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Kealakekua",
"state": "HI",
"postal_code": "967508182",
"country_code": "US",
"telephone_number": "808-327-4848",
"fax_number": "808-327-4803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNZ",
"first_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD-4036",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "HI",
"license": "MD4036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49067001",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490673",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.