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

Dr. John Raphael Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1710958848

Dr. John Raphael Kim, MD is a Diagnostic Radiology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6119 W Jefferson Blvd
Fort Wayne, IN 46804-3072
Phone: (260) 432-1568
Fax: (260) 432-4946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 10142685 (IN)

Record details

NPI number1710958848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESDecember 16, 2009

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