MEDICARE: MS. KATHY W HOLLOMON LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	0442	NC

General Provider Information

NPI Number	:	1922077213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY W HOLLOMON LAT, ATC

Provider Business Mailing Address
First Line	:	3020 WHITE CLOUD CIR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-4065
Country	:	US
Telephone Number	:	919-306-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 MIDDLE CREEK PARK AVE
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-7983
Country	:	US
Telephone Number	:	919-661-5474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1386647576 — MARCELO R. PEREZ-MONTES M.D.
Practice Location Address:

100 IRONCREEK PL
APEX, NC
27539-7772

Practice Phone: 252-422-8499
Practice Fax: 919-267-9486

1962469692 — MRS. MONICA DABNEY L.AC.
Practice Location Address:

3920 DOESKIN DRIVE
APEX, NC
27539-8644

Practice Phone: 919-762-0729
Practice Fax: 888-965-9917

1831141605 — MS. LISA COLE WAGNER MACCC/SLP
Practice Location Address:

8733 HOLLY SPRINGS RD
APEX, NC
27539-9194

Practice Phone: 919-981-6588
Practice Fax: 919-981-6255

1164457057 — MR. BRANDON MARK YOUNG PT
Practice Location Address:

2121 E WILLIAMS ST , SUITE 108
APEX, NC
27539-7764

Practice Phone: 919-372-8412
Practice Fax: 919-267-6556

1588776637 — MR. LONNIE RAY DAVIS, JR MSS, ATC, LAT
Practice Location Address:

4600 W LAKE RD , WEST LAKE MIDDLE SCHOOL
APEX, NC
27539-7657

Practice Phone: 919-662-2918
Practice Fax: 919-662-2906

1902904550 — NORTH CAROLINA CVS PHARMACY, L.L.C.
Practice Location Address:

5153 SUNSET LAKE RD
APEX, NC
27539-8792

Practice Phone: 919-290-2630
Practice Fax:

Directions to “ MS. KATHY W HOLLOMON LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.