Healthcare Provider Details

I. General information

NPI: 1982519344
Provider Name (Legal Business Name): KRISTEN FARMER HOLLOMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN ELEANOR FARMER OT

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SAWMILL RD
RALEIGH NC
27615-4842
US

IV. Provider business mailing address

3200 LANGSTON CIR
APEX NC
27539-6852
US

V. Phone/Fax

Practice location:
  • Phone: 919-848-7125
  • Fax:
Mailing address:
  • Phone: 919-210-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7268
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: