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Kristian De Nagel, MD — NPI 1922634039, Lees Summit, MO | NPI Central

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NPI 1922634039

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Kristian De Nagel, MD

NPI 1922634039 · Sports Medicine (Family Medicine) Physician · Lees Summit, MO

Provider details

NPI number: 1922634039
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: 61156 (KY)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 61156 (KY)
Allopathic & Osteopathic Physicians
Adult Medicine Physician207QA0505XLicense E-16196 (AR)
Allopathic & Osteopathic Physicians

Practice location

600 Nw Murray Rd Ste 201

Lees Summit, MO 64081-1227

Phone: (816) 524-2626

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 776351

Chicago, IL 60677-6351

Additional practice locations (1)

210 E Gray St Ste 604
Louisville, KY 40202-3902
Phone: (502) 629-5633
Fax: (502) 629-5580

Registry dates

Enumerated: 2020-03-20
Last updated: 2025-12-02
Certified: 2025-12-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.