Mark Kun

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.024751 Issued in OH

Practice address

39000 Mentor Ave
Willoughby, OH 44094-8095

Phone

(440) 953-3950

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2023.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1710676325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 MAYFIELD RD APT 457",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242262",
            "telephone_number": "216-925-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 MENTOR AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948095",
            "telephone_number": "440-953-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUN",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lisa Krob, RN RCP
• Trudy Kucharski
• David P Kucmanic, CRNA
• Lisa Kuhen, NP
• Lynn Kuhnle
• Glenda J. Kupersmith, LISW
• Margarita Kutsikovich, DDS
• Heather Community Kwedder
• Laboratory Corporation of America Holdings
• Linda Lack

• All providers in Willoughby, OH
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.