Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ketchum Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1720692650

Ketchum Family Medicine, PLLC provides Family Medicine Physician services in Ketchum, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

431 Walnut Ave N
Ketchum, ID 83340
Phone: (208) 622-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1720692650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Brown — Owner · (208) 721-0676
NPI enumeratedSeptember 8, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing addressPo Box 6471, Ketchum, ID 83340-6471

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