person
Mr. Kellen J Pino, MS,LAT,ATC,CES
Sports Medicine (Preventive Medicine) Physician in Albuquerque, New Mexico
NPI 1104471085

Kellen J Pino is a Sports Medicine (Preventive Medicine) Physician based in Albuquerque, NM and is specialized in Sports Medicine. Kellen J Pino practices in Albuquerque, NM and has the professional credentials of MS,LAT,ATC,CES. The NPI Number for Kellen J Pino is 1104471085 and holds a License No. 424 (New Mexico).

The current practice location address for Kellen J Pino is 12200 Lomas Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-559-2200.

Location: 12200 Lomas Blvd Ne, Albuquerque, NM, 87114-5063
person
Provider Profile Details
NPI Number
1104471085
Provider Name
Kellen J Pino
Credential
MS,LAT,ATC,CES
Provider Entity Type
Individual
Gender
Male
Address
12200 Lomas Blvd Ne, Albuquerque, NM, 87114-5063
Phone Number
505-559-2200
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12200 Lomas Blvd Ne
City
State
Zip
87112-5804
Phone Number
505-559-2200
Fax Number
person
Provider Business Mailing Address Details
Address
12200 Lomas Blvd Ne
City
State
Zip
87112-5804
Phone Number
505-559-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
License No.
424 (New Mexico)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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