NPI 1265790117 · live from the CMS NPI Registry
Kristen Nichole Ball, PA-C
Physician Assistant in Tulsa, OK. National Provider Identifier 1265790117, active.
NPI record
| NPI | 1265790117 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 8556 E 101st St Ste G, Tulsa, OK 74133 |
| Practice phone | 813-294-2208 |
| Enumerated | April 29, 2012 |
| Last updated | July 20, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3204 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.