Provider Demographics
NPI:1619207586
Name:KUNESH, JOHN K (LMT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:K
Last Name:KUNESH
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30857
Mailing Address - Street 2:
Mailing Address - City:ANAHOLA
Mailing Address - State:HI
Mailing Address - Zip Code:96703-0857
Mailing Address - Country:US
Mailing Address - Phone:808-651-4782
Mailing Address - Fax:
Practice Address - Street 1:4-1345 KUHIO HWY
Practice Address - Street 2:SUITE D
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1600
Practice Address - Country:US
Practice Address - Phone:808-651-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6201173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist