Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jaewan Kim

Individual provider Physician Assistant · NPI 1467276329

Jaewan Kim is a Physician Assistant in Goodyear, Arizona. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

14455 W Van Buren St # 100
Goodyear, AZ 85338-9209
Phone: (623) 518-2386
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19903 (TX)

Record details

NPI number1467276329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026

Other providers in Goodyear