Healthcare Provider Details

I. General information

NPI: 1720905201
Provider Name (Legal Business Name): KAREN CHEROP KETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 N WASHINGTON ST
RAYMORE MO
64083-7803
US

IV. Provider business mailing address

216 N WASHINGTON ST
RAYMORE MO
64083-7803
US

V. Phone/Fax

Practice location:
  • Phone: 816-616-2873
  • Fax:
Mailing address:
  • Phone:
  • Fax: 816-616-2873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5385497092
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: