| Name: | Ketchum Family Medicine, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 Aug 2020 (4 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 3979570 |
| Place of Formation: | IDAHO |
| File Number: | 723188 |
| ZIP code: | 83340 |
| County: | Blaine County |
| Principal Address: | ASHLEY BROWN PA-C 431 WALNUT AVE N KETCHUM, ID 83340 |
| Mailing Address: | ASHLEY BROWN PA-C PO BOX 6471 KETCHUM, ID 83340-6471 |
| Name | Role | Address |
|---|---|---|
| Ashley Brown | Agent | 671 3RD AVE N, KETCHUM, ID 83340 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| James Tautkus | Member | PO BOX 6471, KETCHUM, ID 83340 | 2020-10-27 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Ashley Brown | Manager | 431 WALNUT AVE N, KETCHUM, ID 83340 | 2020-09-03 | 2020-10-27 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005810620 | 2024-07-08 |
| Annual Report | 0005391140 | 2023-09-08 |
| Annual Report | 0004802287 | 2022-07-05 |
| Annual Report | 0004334600 | 2021-07-06 |
| Amendment to Certificate | 0004042559 | 2020-10-27 |
| Amendment to Certificate | 0003993426 | 2020-09-03 |
| Initial Filing | 0003979570 | 2020-08-26 |
Date of last update: 02 Jan 2025
Sources: Idaho Secretary of State
