Dr. Krystin Jade Provo is a Ottawa, Kansas based male chiropractor with 12 years of experience in General Chiropractor. 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 Chiropractor 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:
Chiropractor
Credentials:
D.C
Experience:
12+ 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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