Individual
MRS. KRISTEN NICHOLE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3204
OK
363A00000X
Physician Assistant
PA9106501
FL
363AM0700X
Medical Physician Assistant
PA9106501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020432200
—
FL
05
—
200931390A
—
OK
Enumeration date
04/29/2012
Last updated
05/26/2022
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