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General NPI Number Information
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NPI Number | 1962694463
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Entity Type | Organization
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Legal Business Name | KEVIN KUNZ MD, LLC
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 75-170 HUALALAI ROAD SUITE B103
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City | KAILUA KONA
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State | HI
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Zip | 96740-3211
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Country | US
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Telephone | 808-327-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 75-170 HUALALAI ROAD SUITE B103
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City | KAILUA KONA
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State | HI
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Zip | 96740-3211
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Country | US
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Telephone | 808-327-4848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN KUNZ
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Credential | MD
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Telephone | 808-327-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD-4036
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License Number State | HI
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