IndividualActive
Kim Bissonnette, MA ATC CSCS
NPI 1386619013 · Athletic Trainer · Kingston, RI
Provider details
- NPI number
- 1386619013
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA ATC CSCS
- Sex
- Male
- License
- 67 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3 Keaney Rd
Suite 1
Kingston, RI 02881-1111
Phone: (401) 874-5230
Fax: (401) 874-5354
Approximate (ZIP-level) locationGet directions
Mailing address
43 Greenwood Dr
Wakefield, RI 02879-1512
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.