Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Dermaesthetics, LLC

Organization Family Medicine Physician · NPI 1639117153

Boise Dermaesthetics, LLC is a Family Medicine Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6126 W Emerald St
Boise, ID 83704-8857
Phone: (208) 323-6525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639117153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Lundy — Billing Manger · (208) 452-6794
Other names McConnehey Family Medicine
NPI enumeratedJune 4, 2006
Last updated in NPPESSeptember 12, 2007
Mailing address6126 W Emerald St, Boise, ID 83704-8857

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