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

Evan Robert Locke, MD

Individual provider Family Medicine Physician · NPI 1215522685

Evan Robert Locke, MD is a Family Medicine Physician in Kirtland AFB, New Mexico. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2021
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

2050A 2nd St SE
Kirtland AFB, NM 87117-1809
Phone: (505) 846-3200
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 35188 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 35188 (NE)

Record details

NPI number1215522685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 7, 2021
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address18324 Maffey Dr, Castro Valley, CA 94546-2267

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