Physician Compare National (NPI:1124387204)

HEALTHCARE PROVIDER: DEL RAE NAOMI KEY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124387204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628231669
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120531000401
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KEY
	Individual professional last name
Provider First Name	DEL RAE
	Individual professional first name
Provider Middle Name	NAOMI
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	618 COURT AVE
	Group Practice or individual's line 1 address
City	BEDFORD
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	508331303
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y