Mr Kellen J Pino, MS, LAT, ATC, CES - Preventive Medicine in Albuquerque, NM

Mr Kellen J Pino, MS, LAT, ATC, CES is a Preventive Medicine - Sports Medicine physician based in Albuquerque, New Mexico. Mr Kellen J Pino is licensed to practice in New Mexico (license number 424) and his current practice location is 12200 Lomas Blvd Ne, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 559-2200.

NPI number for Mr Kellen J Pino is 1104471085 and his current mailing address is 4500 Shadow Ave Nw, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104471085.

Contact Information

Mr Kellen J Pino, MS, LAT, ATC, CES
12200 Lomas Blvd Ne,
Albuquerque, NM 87112-5804
(505) 559-2200
Not Available

Map and Direction




Physician's Profile

Full NameMr Kellen J Pino
GenderMale
SpecialityPreventive Medicine - Sports Medicine
Location12200 Lomas Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104471085
  • Provider Enumeration Date: 08/07/2019
  • Last Update Date: 08/07/2019

Medical Identifiers

Medical identifiers for Mr Kellen J Pino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104471085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine 424 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kellen J Pino is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kellen J Pino, MS, LAT, ATC, CES
4500 Shadow Ave Nw,
Albuquerque, NM 87114-5063

Ph: (505) 681-0748
Mr Kellen J Pino, MS, LAT, ATC, CES
12200 Lomas Blvd Ne,
Albuquerque, NM 87112-5804

Ph: (505) 559-2200

Reviews and Comments


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