DR. Krystin Jade Provo, D.C

NPI #1598100448 in Ottawa, Kansas

Provider Information

NPI Number
1598100448
Entity Type
Individual
Name
DR. Krystin Jade Provo, D.C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C
Enumeration Date
May 6, 2013
Last Updated
Jul 21, 2022

Practice Location

Address
112 E 17TH ST
City
Ottawa
State
Kansas
ZIP Code
66067-3800
Phone
(785) 242-9393

Specialties & Taxonomy Codes

Specialty
Chiropractor

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