Individual provider · Type 1 NPI

Kellen J. Pino, MS, LAT, ATC, CES

Sports Medicine (Preventive Medicine) Physician · Albuquerque, NM

NPI number 1104471085 Active

Practice location

12200 Lomas Blvd NE
Albuquerque, NM 87112-5804

Call (505) 559-2200 Map

Mailing address

4500 Shadow Ave NW
Albuquerque, NM 87114-5063

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010X424 (NM)

Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

14 other providers at this address

About NPI 1104471085

Kellen J. Pino, MS, LAT, ATC, CES's National Provider Identifier is 1104471085, issued on Aug 7, 2019. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 7, 2019.