NPI age
5 years
Enumerated 2020-09-08
● Active Type 2 · Organization
Ketchum Family Medicine, Pllc
Ketchum Family Medicine, Pllc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Owner
Last NPPES update
2020-11-12
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
431 Walnut Ave N
Ketchum, ID 83340
Mailing address
Po Box 6471
Ketchum, ID 833406471
Authorized official
Ashley Brown, PA-C
Owner
📞 2087210676
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ashley Brown, PA-C Physician Assistant NPI 1942638846
- Kristen Pendola Allen, FNP Nurse Practitioner NPI 1508209297
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.