# BONE RESTORATION AND WELLNESS CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326953233
- **Authorized official:** KRISTEN BALL PA (OWNER / PROVIDER)
- **Authorized official phone:** (208) 315-1340

## Contact information

- **Practice address:** 8556 E 101ST ST STE G, TULSA, OK 74133-7036
- **Practice address phone:** (813) 294-2208
- **Mailing address:** 8556 E 101ST ST STE G, TULSA, OK 74133-7036
- **Mailing address phone:** (813) 294-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2026
- **Last updated:** 08/17/2026