Individual provider · Type 1 NPI

Kristian Ashtin De Nagel, MD

Sports Medicine (Family Medicine) Physician · Lees Summit, MO

NPI number 1922634039 Active

Practice location

600 NW Murray Rd Ste 201
Lees Summit, MO 64081-1227

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Other practice locations

  • 210 E Gray St Ste 604, Louisville, KY 40202-3902 · (502) 629-5633

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X61156 (KY)
Adult Medicine Physician 207QA0505XE-16196 (AR)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

6 other providers at this address

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About NPI 1922634039

Kristian Ashtin De Nagel, MD's National Provider Identifier is 1922634039, issued on Mar 20, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Lees Summit, MO. The record was last updated on Dec 2, 2025.