DR. KRYSTIN JADE PROVO D.C
NPI 1598100448
Chiropractor in Ottawa, KS

Active since May 06, 2013
112 E 17TH ST, OTTAWA, KS 66067(785) 242-9393(913) 538-2289 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 27, 2018 (2 updates tracked since 2018).

About Dr. Krystin Jade Provo D.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRYSTIN JADE PROVO D.C (NPI 1598100448) is an individual chiropractor in Ottawa, Kansas, licensed in Kansas (01-05533) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1598100448
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KRYSTIN JADE PROVOCredential: D.C
Location Address112 E 17TH STOttawa, KS 66067-3800
Mailing Address112 E 17th StOttawa, KS 66067-3800 · (785) 242-9393 · Fax (913) 538-2289
Fax(913) 538-2289
Sole ProprietorNo
Enumeration DateMay 6, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1598100448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in KS · 01-05533
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.
112 E 17TH ST, Ottawa, KS 66067

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
112 E 17TH ST
OTTAWA, KS 66067
Chiropractor
112 E 17TH ST
OTTAWA, KS 66067
Chiropractor
112 E 17TH ST
OTTAWA, KS 66067
Chiropractor
112 E 17TH ST
OTTAWA, KS 66067
Chiropractor
112 E 17TH ST
OTTAWA, KS 66067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystin Provo's NPI number?

The NPI number for Krystin Provo is 1598100448. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Krystin Provo located?

Krystin Provo practices at 112 E 17th St, Ottawa, KS 66067. The listed phone number is (785) 242-9393.

What is Krystin Provo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Krystin Provo accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Krystin Provo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystin Provo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.