Organization Active NPI

Kevin Kunz MD, LLC

  • General Practice Physician
  • Kailua Kona, HI
National Provider Identifier
1962694463
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD-4036 Issued in HI
Legal business name
KEVIN KUNZ MD, LLC
Practice address
75-170 Hualalai Road
Suite B103
Kailua Kona, HI 96740-3211
Phone
(808) 327-4848
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Kevin Kunz, MD
Title
President
Phone
(808) 327-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MD-4036 HI Primary

Addresses

Primary practice location

75-170 Hualalai Road
Suite B103
Kailua Kona, HI 96740-3211

Mailing address

75-170 Hualalai Road
Suite B103
Kailua Kona, HI 96740-3211
Phone (808) 327-4848

Other identifiers 1

IdentifierTypeStateIssuer
552465MedicaidHI

National Provider Directory

National Provider Directory

Locations

75-170 Hualalai Rd
Ste B103
Kailua Kona, HI 96740
Phone (808) 327-4848

76-6225 Kuakini Hwy
Ste B105
Kailua Kona, HI 96740
Phone (808) 327-4848

75-170 Hualalai Rd
Ste B104
Kailua Kona, HI 96740
Phone (808) 327-4848

81-937 Halekii St
Ste 2
Kealakekua, HI 96750
Phone (808) 327-4848

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1962694463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI ROAD",
            "address_2": "SUITE B103",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-327-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI ROAD",
            "address_2": "SUITE B103",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-327-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KUNZ MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-327-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-4036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552465",
            "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 Mar 2, 2009; 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.