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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIYOUNG BAE
NPI 1265112593
Physician Assistant in Camp Humphreys, Pyeongtaek, GYEONGGI-DO

Active since July 21, 2023
AVIATION CLINIC, BDAACH, BUILDING 3030, 4TH FLOOR, CAMP HUMPHREYS, PYEONGTAEK, GYEONGGI-DO 96273(657) 465-2535 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Oct 23, 2023, Jul 21, 2023 (3 updates tracked since 2023).

About Kiyoung Bae NPPES

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

KIYOUNG BAE (NPI 1265112593) is an individual physician assistant in Camp Humphreys, Pyeongtaek, GYEONGGI-DO and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1265112593
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKIYOUNG BAE
Location AddressAVIATION CLINIC, BDAACH, BUILDING 3030, 4TH FLOORCamp Humphreys, Pyeongtaek, GYEONGGI-DO 96273
Mailing AddressPsc 400 Box 5033Apo, AP 96273-0051 · (657) 465-2535
Phone(657) 465-2535
Sole ProprietorNo
Enumeration DateJuly 21, 2023
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1265112593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
AVIATION CLINIC, BDAACH, BUILDING 3030, Camp Humphreys, Pyeongtaek, GYEONGGI-DO 96273
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiyoung Bae's NPI number?

The NPI number for Kiyoung Bae is 1265112593. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Kiyoung Bae located?

Kiyoung Bae practices at Aviation Clinic, Bdaach, Building 3030 4th Floor, Camp Humphreys, Pyeongtaek, GYEONGGI-DO 96273. The listed phone number is (657) 465-2535.

What is Kiyoung Bae's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kiyoung Bae was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.