Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Hal Liljenquist

Individual provider Certified Registered Nurse Anesthetist · NPI 1952041790

Kevin Hal Liljenquist is a Certified Registered Nurse Anesthetist (CRNA) in Galena, Kansas. Qualified in 2022, 4 years ago. Practices with Renew Medical Group of Missouri, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

444 Four States Dr Ste 2
Galena, KS 66739-4325
Phone: (620) 783-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 Branson Landing Blvd, Branson, MO 65616-2052 — (000) 000-0000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2022021647 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2017026396 (MO)

Record details

NPI number1952041790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing addressPo Box 802843, Kansas City, MO 64180-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Renew Medical Group Of Missouri — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Galena