Individual
DR. KRISTIAN ASHTIN DE NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NW MURRAY RD STE 201, LEES SUMMIT, MO 64081-1227
(816) 524-2626
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
E-16196
AR
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
61156
KY
Other
Enumeration date
03/20/2020
Last updated
12/02/2025
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