Dr. Krystin Jade Provo
D.C | Chiropractor | 13+ years Exp
Medicare Enrolled
112 E 17th St, Ottawa
Kansas, 66067-3800
785-242-9393 913-538-2289
Maps & Directions Dr. Krystin Jade Provo is a Ottawa, Kansas based chiropractor with
13 years of experience in
General Chiropractic. He completed his graduation from
Logan College Of Chiropractic in 2012. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Krystin Jade Provo as General Chiropractic is
01-05533 in Kansas.
Dr. Krystin Jade Provo is qualified as 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.
Complete Profile:
Dr. Krystin Jade Provo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | D.C |
| Experience: | 13+ years |
| Medical School Attended: | Logan College Of Chiropractic |
| Graduation Year: | 2012 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 112 E 17th St, Ottawa, Kansas, 66067-3800 |
| Phone: | 785-242-9393 |
| Fax: | 913-538-2289 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1254616220 |
| Enrollment ID: | I20210405001934 |
| NPI Number: | 1598100448 |
| NPI Enumeration Date: | 06 May, 2013 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Krystin Jade Provo are as mentioned below.
| License Number | Specialization | State | Status | |
| 01-05533 | Chiropractor | Kansas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 112 E 17th St, Ottawa, Kansas |
| Zip: | 66067-3800 |
| Phone Number: | 785-242-9393 |
| Fax Number: | 913-538-2289 |
Patients can reach Dr. Krystin Jade Provo at
112 E 17th St, Ottawa, Kansas or can
call to book an appointment on 785-242-9393.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.