Organization Name: | KEVIN KUNZ MD, LLC |
NPI Number: | 1962694463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN KUNZ (PRESIDENT) |
Mailing Address: | 75-170 Hualalai Road Suite B103 Kailua Kona |
State: | HI US |
Postal Code: | 967403211 |
Phone Number: | 8083274848 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-4036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |