Individual provider · Type 1 NPI

Krystin Jade Provo, D.C

Chiropractor · Ottawa, KS

NPI number 1598100448 Active

About NPI 1598100448

Krystin Jade Provo, D.C's National Provider Identifier is 1598100448, issued on May 6, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ottawa, KS. The record was last updated on Jul 21, 2022.