CHUL H. KIM M.D.
NPI 1114036282
Pediatrics in San Carlos, AZ

Q: What is Chul Kim's NPI number?

The NPI number for Chul Kim is 1114036282. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Chul Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Chul Kim was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2006

223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550(928) 475-7219(928) 475-7370 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chul H. Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHUL H. KIM M.D. (NPI 1114036282) is an individual pediatrics provider in San Carlos, Arizona, licensed in Maryland (D18717) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114036282

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCHUL H. KIMCredential: M.D.

Location Address223 CIBEQUE CIRCLE ROADSan Carlos, AZ 85550

Mailing AddressPo Box 208San Carlos, AZ 85550-0208 · (928) 475-7219 · Fax (928) 475-7370

Phone(928) 475-7219

Fax(928) 475-7370

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 6, 2013

✔ NPI 1114036282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D18717

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

223 CIBEQUE CIRCLE ROAD, San Carlos, AZ 85550

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Other Identifiers 4

Medicaid888935AZ

Medicare ID-Type Unspecified8HD456AZ · Id Number For Hsz169

Medicare ID-Type Unspecified8HD455AZ · Id Number For Hsz168

Medicare UPIND78100AZ

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK H. TURPEN D.D.S.

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