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Contact Information

KRISTIAN A DE NAGEL, MD
600 NW MURRAY RD STE 201
LEE'S SUMMIT, MO64081-1227
 Phone: 816-524-2626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KRISTIAN A DE NAGEL · (Male)

NPI Number 1922634039
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2020
Last updated 12/02/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • AR License # E-16196
  • KY License # 61156
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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