Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Kim

Individual provider Physician Assistant · NPI 1376427815

Jackie Kim is a Physician Assistant in Beaufort, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

16 Wando Pl
Beaufort, SC 29906-6041
Phone: (201) 600-2206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376427815
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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