Provider Demographics
NPI:1295313245
Name:LOCKE, KARA A (MD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:A
Last Name:LOCKE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:K'ARA
Other - Middle Name:A
Other - Last Name:LOCKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:330 BROOKLINE AVE FL SHAPIRO8
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5491
Mailing Address - Country:US
Mailing Address - Phone:617-667-4600
Mailing Address - Fax:617-667-7493
Practice Address - Street 1:330 BROOKLINE AVE FL SHAPIRO8
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-4600
Practice Address - Fax:617-667-7493
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
MA289215207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program