# KETCHUM FAMILY MEDICINE, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720692650
- **Authorized official:** MRS. ASHLEY BROWN PA-C (OWNER)
- **Authorized official phone:** (208) 721-0676

## Contact information

- **Practice address:** 431 WALNUT AVE N, KETCHUM, ID 83340
- **Practice address phone:** (208) 622-3180
- **Mailing address:** PO BOX 6471, KETCHUM, ID 83340-6471
- **Mailing address phone:** (208) 622-3180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 11/12/2020