Healthcare Provider Details

I. General information

NPI: 1982306635
Provider Name (Legal Business Name): KARIN CHA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN CHERNIAK DO

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 MILLER ST
BETHANY MO
64424-2713
US

IV. Provider business mailing address

600 NW MURRAY RD STE 204
LEES SUMMIT MO
64081-1227
US

V. Phone/Fax

Practice location:
  • Phone: 660-425-3154
  • Fax: 660-425-6663
Mailing address:
  • Phone: 816-434-3678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026030384
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: