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MR. KELLEN J PINO MS, LAT, ATC, CES
NPI 1104471085
Preventive Medicine - Sports Medicine in Albuquerque, NM

Active since August 07, 2019
12200 LOMAS BLVD NE, ALBUQUERQUE, NM 87112(505) 559-2200 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kellen J Pino Ms, Lat, Atc, Ces NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLEN J PINO MS, LAT, ATC, CES (NPI 1104471085) is an individual sports medicine provider in Albuquerque, New Mexico, licensed in New Mexico (424) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1104471085
Entity TypeIndividualMale
Primary Taxonomy2083S0010X
Provider Legal NameMR. KELLEN J PINOCredential: MS, LAT, ATC, CES
Location Address12200 LOMAS BLVD NEAlbuquerque, NM 87112-5804
Mailing Address4500 Shadow Ave NwAlbuquerque, NM 87114-5063 · (505) 681-0748
Phone(505) 559-2200
Sole ProprietorYes
Enumeration DateAugust 7, 2019
✔ NPI 1104471085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in NM · 424
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
12200 LOMAS BLVD NE, Albuquerque, NM 87112
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANNE OETZEL SLP
Speech-Language Pathologist
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200
MEGAN COMBS MS, CF-SLP
Speech-Language Pathologist
12200 LOMAS BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200
JESSIE BROWN MACFARLAND SW
Social Worker
12200 LOMAS BLVD NE, MANZANO HIGH SCHOOL
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2220
NORVA SALTMAN SLP
Speech-Language Pathologist
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200
PAULA BOROWSKI SW
Social Worker (School)
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 292-0090
CAROLYN J FENG SLP
Speech-Language Pathologist
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200
SHERRI ERLER PT
Physical Therapist
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200
MARIANNE WETTSTEIN SW
Social Worker (School)
12200 LOMAS BLVD NE, MANZANO HS
ALBUQUERQUE, NM 87112
Bernalillo County (505) 559-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Pino's NPI number?

The NPI number for Kellen Pino is 1104471085. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Kellen Pino located?

Kellen Pino practices at 12200 Lomas Blvd NE, Albuquerque, NM 87112. The listed phone number is (505) 559-2200.

What is Kellen Pino's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Kellen Pino was last updated on August 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.