Active NPIIndividual provider

Mr. Kim A Bissonnette, MA ATC CSCS

Specialist/Technologist, Athletic Trainer in Kingston, Rhode Island

NPI Number1386619013
Practice location
3 Keaney RD, Suite 1, Kingston, RI 02881-1111
Fax
401-874-5354
Last updated
July 13, 2026

Kim A Bissonnette is a Specialist/Technologist, Athletic Trainer based in Kingston, RI. Kim A Bissonnette practices in Kingston, RI and has the professional credentials of MA ATC CSCS. The NPI Number for Kim A Bissonnette is 1386619013 and holds a License No. 67 (RI). The current practice location address for Kim A Bissonnette is 3 Keaney RD, Suite 1, Kingston, RI 02881-1111 and can be reached out via phone at 401-874-5230 and via fax at 401-874-5354.

Provider Profile Details

NPI Number
1386619013
Provider Name
Kim A Bissonnette
Credential
MA ATC CSCS
Provider Entity Type
Individual
Gender
Male
Address
3 Keaney RD, Suite 1, Kingston, RI 02881-1111
Phone Number
401-874-5230
Fax Number
401-874-5354
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Keaney RD
Suite 1
Kingston, RI 02881-1111
Zip
02881-1111
Phone Number
401-874-5230
Fax Number
401-874-5354
Kingston, RI 02881Get directions →

Provider Business Mailing Address Details

Address
43 Greenwood Dr
Wakefield, RI 02879-1512
City
Wakefield
State
RI
Zip
02879-1512
Phone Number
401-874-5230
Fax Number
401-874-5354

License Information

License Number
67
License State
RI
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kim A Bissonnette, MA ATC CSCS?

The NPI number of Mr. Kim A Bissonnette, MA ATC CSCS is 1386619013. It was assigned on February 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kim A Bissonnette, MA ATC CSCS?

Mr. Kim A Bissonnette, MA ATC CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number 67.

Where does Mr. Kim A Bissonnette, MA ATC CSCS practice?

The practice location is 3 Keaney RD, Suite 1, Kingston, RI 02881-1111. The office can be reached at 401-874-5230 (phone) or 401-874-5354 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386619013 directly on the NPPES registry website.

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