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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAE WOONG KIM

Active

DAE WOONG KIM is a Physician Assistant healthcare provider located in QUEEN CREEK, Arizona. NPI 1386132652 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · QUEEN CREEK, AZ

Registration Details

NPI Number
1386132652
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2018 (8.1273221279157 yrs)
Last Updated
Jan 6, 2023
License
7074 (AZ)

Practice Information

Address
21321 E OCOTILLO RD STE 133
QUEEN CREEK, AZ, 851425995
Browse AZ providers · Browse ZIP 85142
Phone
4809875525
Fax
4809875115
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in QUEEN CREEK, AZ

Name Credential NPI
MR. CORY M KOVAC PA-C 1093753709
MRS. REBECCA LYNN CHILDERS PA 1215068549
MRS. CYNTHIA PRICE FRANCO PA-C 1285828053
KARI LYNN GIARRIZZO P.A. 1134452337
THOMAS J NELSON PA 1508293713
JILLIAN BLAIR TRULSON 1104324623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.