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



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

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Preventive Medicine Doctors in Albuquerque, NM

David Lyman, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5700 Harper Dr Ne, Albuquerque, NM 87109
Phone: 505-823-9166    Fax: 505-858-0030
Juliana Garcia, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3811 Commons Ave Ne, Albuquerque, NM 87109
Phone: 615-778-4066    
Dr. Geoffrey Leo Ewing, D.O.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108
Phone: 801-528-8505    
Joey Burl Boyce,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1417 San Rafael Ave Ne, Albuquerque, NM 87122
Phone: 816-261-6304    
Dr. Leslie Olivia Hopkins, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: Msc10 5550, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-5880    Fax: 505-262-5958
Dr. Kendall Bryce Green, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Tucker, Family Practice Center Rm 232, Albuquerque, NM 87131
Phone: 505-272-8043    Fax: 505-272-8044

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