KONA FUNCTIONAL HEALTH LLC – NPI #1588593453
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

KONA FUNCTIONAL HEALTH LLC is a provider located in KAILUA-KONA, HI. NPPES recently assigned the NPI number 1588593453 to KONA FUNCTIONAL HEALTH LLC on May 18, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KONA FUNCTIONAL HEALTH LLC below.

NPI Profile for
KONA FUNCTIONAL HEALTH LLC

NPI Number
1588593453
Enumeration Date

(about 3 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KONA FUNCTIONAL HEALTH LLC
Primary location
75-377 HUALALAI RD
KAILUA-KONA, HI 96740-9724
Phone: (808) 329-9211 Fax: (808) 329-0009
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LYNDA ROARK
ADMINISTRATIVE ASST
Phone: (808) 329-9211
Updated
Certification Date
May 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.