=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972040970
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAY SUNAKAWA D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2017
-----------------------------------------------------
Last Update Date | 06/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 CHURCH STREET SUITE E
-----------------------------------------------------
City | VINEYARD HAVEN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02568
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-687-0799
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 748
-----------------------------------------------------
City | WEST TISBURY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-642-8389
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3568
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 012905
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------