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

Jiwon Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114774205

Jiwon Kim, MD is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
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

749 University Row Ste 200
Madison, WI 53705-1465
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 8651920 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 101177851 (WI)

Record details

NPI number1114774205
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address600 Highland Ave, Madison, WI 53792-0001

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