Physician Compare National (NPI:1457376337)

HEALTHCARE PROVIDER: JOANNA KAY HUDEC 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	1457376337
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476775073
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141115000119
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDEC
	Individual professional last name
Provider First Name	JOANNA
	Individual professional first 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	2000
	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	125 E TOWNSHIP ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	FAYETTEVILLE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727032896
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4795879448
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y