| NPI | 1730961830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LINDQUIST Owner 913-303-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 133V00000X Dietitian, Registered | |
| 207RB0002X Internal Medicine Obesity Medicine | |
| 2080B0002X Pediatrics Obesity Medicine | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-01-27 |