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

Dr. Soren Knudsen Estvold, MDMPHCAQSM

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1831714211

Dr. Soren Knudsen Estvold, MDMPHCAQSM is a Sports Medicine (Family Medicine) Physician in Jbsa Lackland, Texas. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (706) 721-3159
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 94989 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11978 (GA)

Record details

NPI number1831714211
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMPHCAQSM
Sole proprietorYes
NPI enumeratedJune 11, 2020
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Other providers in Jbsa Lackland