# DR. KRISTIAN ASHTIN DE NAGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922634039
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | E-16196 | AR | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 61156 | KY | Yes |

## Other

- **Enumeration date:** 03/20/2020
- **Last updated:** 12/02/2025