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

Jaewan Kim

Individual provider Physician Assistant · NPI 1467276329

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

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

Record details

NPI number1467276329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address14455 W Van Buren St # 100, Goodyear, AZ 85338-9209

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