# KONA FUNCTIONAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588593453
- **Authorized official:** LYNDA ROARK CPC (ADMINISTRATIVE ASST)
- **Authorized official phone:** (808) 329-9211

## Contact information

- **Practice address:** 75-377 HUALALAI RD, KAILUA KONA, HI 96740-9724
- **Practice address phone:** (808) 329-9211
- **Practice address fax:** (808) 329-0009
- **Mailing address:** 75-377 HUALALAI RD, KAILUA KONA, HI 96740-9724
- **Mailing address phone:** (808) 329-9211
- **Mailing address fax:** (808) 329-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 06/09/2026
