IndividualActive
Evan Locke, MD
NPI 1215522685 · Family Medicine Physician · Kirtland Afb, NM
Provider details
- NPI number
- 1215522685
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35188 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-1809
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
18324 Maffey Dr
Castro Valley, CA 94546-2267
Registry dates
- Enumerated
- 2021-03-07
- Last updated
- 2024-07-18
- Certified
- 2024-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.