Kellen Pino, MS, LAT, ATC, CES

Individual Active
NPI 1104471085
Sports Medicine (Preventive Medicine) Physician Albuquerque, NM

NPI 1104471085 belongs to Kellen Pino, MS, LAT, ATC, CES, a sports medicine (preventive medicine) physician with a practice location in Albuquerque, NM. The NPI was issued on August 7, 2019, and the record was last updated in NPPES on August 7, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010X 424 (NM)

Practice location

12200 Lomas Blvd NE
Albuquerque, NM 87112-5804
Phone: (505) 559-2200

Local context

Active NPPES records list 1 provider with sports medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in New Mexico and 167 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Kellen J Pino
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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