IndividualActive
Kellen Pino, MS, LAT, ATC, CES
NPI 1104471085 · Sports Medicine (Preventive Medicine) Physician · Albuquerque, NM
Provider details
- NPI number
- 1104471085
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, LAT, ATC, CES
- Sex
- Male
- Sole proprietor
- Yes
- License
- 424 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12200 Lomas Blvd Ne
Albuquerque, NM 87112-5804
Phone: (505) 559-2200
Street-level locationGet directions
Mailing address
4500 Shadow Ave Nw
Albuquerque, NM 87114-5063
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.