Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Colasurdo

Individual provider Athletic Trainer · NPI 1396279147

Kevin Colasurdo is an Athletic Trainer in Johnston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2017.

Licensed in
RI
In the registry since
2017
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Practice location Address checks out

21 Irons Ave
Johnston, RI 02919-2707
Phone: (413) 636-5048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT00414 (RI)

Record details

NPI number1396279147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESApril 19, 2017
Mailing address21 Irons Ave, Johnston, RI 02919-2707

Other providers in Johnston