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Jaewan Kim
NPI 1467276329 · Physician Assistant · Goodyear, AZ
Jaewan Kim is a Physician Assistant provider in Goodyear, AZ (NPI 1467276329).
Provider details
- NPI number
- 1467276329
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14455 W Van Buren St # 100
Goodyear, AZ 85338-9209
Phone: (623) 518-2386
Street-level locationGet directions
Mailing address
14455 W Van Buren St # 100
Goodyear, AZ 85338-9209
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Jaewan Kim's NPI number?
- Jaewan Kim's National Provider Identifier (NPI) is 1467276329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaewan Kim's specialty?
- Jaewan Kim is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaewan Kim located?
- Jaewan Kim's practice location on file with NPPES is 14455 W Van Buren St # 100, Goodyear, AZ 85338-9209.
- What is Jaewan Kim's phone number?
- The practice phone number listed in the NPPES registry for Jaewan Kim is (623) 518-2386.
- Is Jaewan Kim's NPI active?
- Yes — Jaewan Kim's NPI (1467276329) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.