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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTIAN ASHTIN DE NAGEL, MD

Active Sole Proprietor

DR. KRISTIAN ASHTIN DE NAGEL, MD is a Sports Medicine healthcare provider located in LEES SUMMIT, Missouri. NPI 1922634039 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · LEES SUMMIT, MO

Registration Details

NPI Number
1922634039
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2020 (6.4224792084385 yrs)
Last Updated
Dec 2, 2025
Licenses
61156 (KY)
E-16196 (AR)
Sole Proprietor
Yes

Practice Information

Address
600 NW MURRAY RD STE 201
LEES SUMMIT, MO, 640811227
Browse MO providers · Browse ZIP 64081
Phone
8165242626
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Adolescent Medicine

Other Sports Medicine Providers in LEES SUMMIT, MO

Name Credential NPI
NICOLE FREMAREK DO, MBA 1417410705
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.