Search › Arizona › 363A00000X
Jaewan Kim
NPI 1467276329 · on the registry since 2024
Practice
- Address
- 14455 W Van Buren St # 100
Goodyear, AZ 85338 - Phone
- (623) 518-2386
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona