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

St Lukes Regional Medical Center

Organization Family Medicine Physician · NPI 1710143672

St Lukes Regional Medical Center is a Family Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
5

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 03 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 03 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 03 (ID)
Surgery Physician Taxonomy 208600000X · Licence 03 (ID)
Urology Physician Taxonomy 208800000X · Licence 03 (ID)

Record details

NPI number1710143672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kee — Administrator · (208) 381-5329
Other names St Lukes Clinic Boise/Meridian
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing addressPo Box 550, Boise, ID 83701-0550

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