Organization
KETCHUM FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY BROWN PA-C (OWNER)
(208) 721-0676
Entity
Organization
Contact information
Practice address
431 WALNUT AVE N, KETCHUM, ID 83340
(208) 622-3180
Mailing address
PO BOX 6471, KETCHUM, ID 83340-6471
(208) 622-3180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
11/12/2020
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