Provider Demographics
NPI:1710947031
Name:HORNUNG, JOEL EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EDWARD
Last Name:HORNUNG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 HAYES DR STE B
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-5721
Mailing Address - Country:US
Mailing Address - Phone:785-565-0016
Mailing Address - Fax:785-565-0003
Practice Address - Street 1:930 HAYES DR STE B
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5721
Practice Address - Country:US
Practice Address - Phone:785-565-0019
Practice Address - Fax:785-565-0003
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0421451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS018232Medicare ID - Type Unspecified
KSD17411Medicare UPIN