Search

Mr. KELLEN J PINO MS, LAT, ATC, CES

Individual Provider (NPI-1) Active

Preventive Medicine, Sports Medicine

Provider Information

NPI Number
1104471085
Provider Type
Individual Provider (NPI-1)
Credentials
MS, LAT, ATC, CES
Status
Active

Contact & Location

Address
12200 LOMAS BLVD NE, ALBUQUERQUE, NM, 871125804
Phone
(505) 559-2200

Specialties & Taxonomies

Preventive Medicine, Sports Medicine Primary License: NM #424

All Addresses

MAILING

4500 SHADOW AVE NW

ALBUQUERQUE, NM, 871145063

(505) 681-0748

LOCATION

12200 LOMAS BLVD NE

ALBUQUERQUE, NM, 871125804

(505) 559-2200