person
Dr. Krystin Jade Provo, DC
Chiropractor in Ottawa, Kansas
NPI 1598100448

Krystin Jade Provo is a Chiropractor based in Ottawa, KS. Krystin Jade Provo practices in Ottawa, KS and has the professional credentials of DC. The NPI Number for Krystin Jade Provo is 1598100448 and holds a License No. 01-05533 (Kansas).

The current practice location address for Krystin Jade Provo is 112 E 17Th St, Ottawa, KS and can be reached out via phone at 785-242-9393 and via fax at 913-538-2289.

Location: 112 E 17Th St, Ottawa, KS, 66067-3800
person
Provider Profile Details
NPI Number
1598100448
Provider Name
Krystin Jade Provo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
112 E 17Th St, Ottawa, KS, 66067-3800
Phone Number
785-242-9393
Fax Number
913-538-2289
Provider Enumeration Date
05/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 E 17Th St
City
State
Zip
66067-3800
Phone Number
785-242-9393
Fax Number
913-538-2289
person
Provider Business Mailing Address Details
Address
112 E 17Th St
City
State
Zip
66067-3800
Phone Number
785-242-9393
Fax Number
913-538-2289
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
01-05533 (Kansas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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