P Praxis·MD
● Active Type 1 · Individual

Katherine Mary Buckley, MD

Emergency Medicine·Ketchum, ID· NPI 1649808718 · Enumerated 2020 · 6 years on NPI
Buckley is 1 of 10 emergency medicine providers in Ketchum and 1 of 336 in Idaho.
NPI age
6 years
Enumerated 2020-04-01
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
6 years
↓ 12 yr below median (18 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
1
In the 51% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
100 Hospital Dr
Ketchum, ID 83340
📞 2087278100fax 2087278124
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
190 E Bannock St
Boise, ID 837126241
📞 2083812235
Location 3
5323 Harry Hines Blvd
Dallas, TX 753907201
📞 2146483111

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #M-17069 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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