Individual
JON LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9191 N AMBASSADOR DR, KANSAS CITY, MO 64154-7247
(702) 899-0595
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(872) 231-3162
(872) 231-3162
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-01955
KS
363AS0400X
Surgical Physician Assistant
2017003700
MO
Other
Enumeration date
10/17/2016
Last updated
12/07/2025
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