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

Ki Wan Kim, MD

Individual provider Surgery Physician · NPI 1356490734

Ki Wan Kim, MD is a Thoracic Surgery in Marietta, Georgia. Qualified in 2003, 23 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Georgia and Illinois.

Years since qualifying
23
Licensed in
CA, GA, IL
In the registry since
2007
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

61 Whitcher St NE Ste 4120
Marietta, GA 30060
Phone: (770) 424-9732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 315 Boulevard Ne Ste 500, Atlanta, GA 30312 — (770) 424-9732
  • 2650 Ridge Ave, Evanston, IL 60201-1718 — (847) 570-2868

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 82757 (GA)
Surgery Physician Taxonomy 208600000X · Licence A90695 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 036127784 (IL)

Record details

NPI number1356490734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESOctober 16, 2019
Mailing address61 Whitcher St Ne Ste 4120, Marietta, GA 30060-1179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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