KELLEN J PINO

ALBUQUERQUE, NM
NPI1104471085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine Sports Medicine
(Licence: NM  424)
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
MR. KELLEN J PINO MS, LAT, ATC, CES
12200 LOMAS BLVD NE
ALBUQUERQUE, NM 87112-5804
Phone number: 505-559-2200
Mailing Address
MR. KELLEN J PINO MS, LAT, ATC, CES
4500 SHADOW AVE NW
ALBUQUERQUE, NM 87114-5063
Phone number: 505-681-0748