Organization
MOKAN WEIGHT LOSS AND METABOLIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LINDQUIST DO (OWNER)
(913) 303-1165
Entity
Organization
Contact information
Practice address
4121 W 83RD ST STE 135, PRAIRIE VILLAGE, KS 66208-5323
(913) 303-1165
Mailing address
4121 W 83RD ST STE 135, PRAIRIE VILLAGE, KS 66208-5323
(913) 303-1165
(800) 816-5184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
Other
Enumeration date
10/16/2023
Last updated
01/27/2025
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