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

Dr. Kelly Tay Locke, MD

Individual provider Family Medicine Physician · NPI 1376546002

Dr. Kelly Tay Locke, MD is a Family Practice in Aspen, Colorado. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1991, 35 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alaska and Colorado.

Years since qualifying
35
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
AK, CO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone: (970) 279-4111
Show map & directions

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

Additional practice locations (2)

  • 3100 Tongass Ave, Ketchikan, AK 99901-5746 — (907) 228-8300
  • 1460 E Valley Rd Ste 103, Basalt, CO 81621-8412 — (970) 279-4111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38023 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 210985 (AK)

Record details

NPI number1376546002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1991 (35 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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