Liljenquist, Kevin Hal

Liljenquist, Kevin Hal is an individual health care provider with primary practice located at 444 Four States Dr Ste 2 , Galena KS 66739-4325. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Liljenquist, Kevin Hal can be contacted via phone (620) 783-4000.

Contact Information

Primary practice address
444 Four States Dr Ste 2 Galena KS 66739-4325
Phone: (620) 783-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2022021647 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 2017026396 Missouri

Profile Details

NPI number 1952041790
LBN Legal business name Liljenquist, Kevin Hal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Jun 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952041790 NPPES
Missouri MEDICAID 910110875

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