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

Ketchum Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1720692650

Ketchum Family Medicine, PLLC is a Family Medicine Physician 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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