Kona Functional Health LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

KONA FUNCTIONAL HEALTH LLC

Practice address

75-377 Hualalai Rd
Kailua Kona, HI 96740-9724

Phone

(808) 329-9211

Fax

(808) 329-0009

NPI assigned

May 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynda Roark, CPC

Title

Administrative Asst

Phone

(808) 329-9211

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1588593453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-377 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409724",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-377 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409724",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA FUNCTIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASST",
        "authorized_official_telephone_number": "808-329-9211",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kona Cardiovascular Inc
• Kona Coast Dental Care, Inc.
• Kona Coast Internal Medicine
• Kona Counseling and Wellness LLC
• Kona Foot Care, LLC
• Kona Heartfelt Counseling LLC
• Kona Keiki Clinic LLC
• Kona Kidney Specialists LLC
• Kona Kohala Health Care Services Inc (Kona Kohala Medi Cal Associates)
• Kona Medical Investors LLC (Life Care Center of Kona)

• Adult Medicine Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Adult Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.