Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAEWAN KIM
ActiveJAEWAN KIM is a Physician Assistant healthcare provider located in GOODYEAR, Arizona. NPI 1467276329 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GOODYEAR, AZ
Registration Details
- NPI Number
- 1467276329
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2024 (1.5802261455653 yrs)
- Last Updated
- Nov 7, 2024
Practice Information
- Address
-
14455 W VAN BUREN ST # 100GOODYEAR, AZ, 853389209Browse AZ providers · Browse ZIP 85338
- Phone
- 6235182386
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| KEITH D WINTERS | PA-C | 1558334243 |
| MRS. REINA MARIA OCASIO | PA-C | 1932177748 |
| SHANNON M. HOGAN | PA-C | 1801865845 |
| MRS. LORI LYNNE HARDACKER | PA | 1780612952 |
| DIANA HOULE | P.A. | 1992815450 |
| MRS. KELLI ANN MERCADO | PA | 1255426870 |
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.