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

Jae Koul Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1124099213

Jae Koul Kim, MD is a Diagnostic Radiology Physician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4729 E Sunrise Dr # 315
Tucson, AZ 85718-4534
Phone: (520) 429-2023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 32890 (AZ)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 32890 (AZ)
Body Imaging Physician Taxonomy 2085B0100X · Licence 32890 (AZ)

Record details

NPI number1124099213
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESNovember 9, 2016

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