Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KONA FUNCTIONAL HEALTH LLC
NPI 1588593453
Family Medicine - Adult Medicine in Kailua Kona, HI

Q: What is Kona Functional Health LLC's NPI number?

The NPI number for Kona Functional Health LLC is 1588593453. It was assigned to this organization in the NPPES registry on May 18, 2026.

Q: What is Kona Functional Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since May 18, 2026

75-377 HUALALAI RD, KAILUA KONA, HI 96740(808) 329-9211(808) 329-0009 Get Directions Write a Review

NPPES record added: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kona Functional Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONA FUNCTIONAL HEALTH LLC (NPI 1588593453) is a healthcare organization registered as an adult medicine in Kailua Kona, Hawaii and active in the NPI registry since May 2026. The organization lists Lynda Roark, Administrative Asst, as its authorized official.

NPPES Registry Identity

NPI1588593453

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameKONA FUNCTIONAL HEALTH LLC

Location Address75-377 HUALALAI RDKailua Kona, HI 96740-9724

Mailing Address75-377 Hualalai RdKailua Kona, HI 96740-9724 · (808) 329-9211 · Fax (808) 329-0009

Phone(808) 329-9211

Fax(808) 329-0009

Organization SubpartNo

Authorized OfficialLynda RoarkAdministrative Asst · (808) 329-9211

Enumeration DateMay 18, 2026

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1588593453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

75-377 HUALALAI RD, Kailua Kona, HI 96740

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL WARNECKE BSN, RN

Registered Nurse