Ketchum Family Medicine, Pllc

NPI #1720692650 in Ketchum, Idaho

Provider Information

NPI Number: 1720692650
Entity Type: Organization
Organization Name: Ketchum Family Medicine, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 8, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 431 WALNUT AVE N
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 622-3180

Authorized Official

Name: MRS. ASHLEY BROWN, PA-C
Title: OWNER
Phone: (208) 721-0676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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