Dr Kathleen Shepherd Koljack, MD - Pediatrics in Jenks, OK

Dr Kathleen Shepherd Koljack, MD is a Pediatrics physician based in Jenks, Oklahoma. Dr Kathleen Shepherd Koljack is licensed to practice in Oklahoma (license number 15092) and her current practice location is 701 E Main St, Jenks, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (918) 298-2264.

NPI number for Dr Kathleen Shepherd Koljack is 1538112370 and her current mailing address is 701 E Main St, Jenks, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538112370.

Contact Information

Dr Kathleen Shepherd Koljack, MD
701 E Main St,
Jenks, OK 74037-4316
(918) 298-2264
(918) 298-0923



Physician's Profile

Full NameDr Kathleen Shepherd Koljack
GenderFemale
SpecialityPediatrics
Location701 E Main St, Jenks, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538112370
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 05/01/2014

Medical Identifiers

Medical identifiers for Dr Kathleen Shepherd Koljack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538112370NPI-NPPES
100056450DMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 15092 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathleen Shepherd Koljack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathleen Shepherd Koljack, MD
701 E Main St,
Jenks, OK 74037-4316

Ph: (918) 298-2264
Dr Kathleen Shepherd Koljack, MD
701 E Main St,
Jenks, OK 74037-4316

Ph: (918) 298-2264

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Pediatrics Doctors in Jenks, OK

Brian S Skrainka, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11014 S Gum St, Jenks, OK 74037
Phone: 314-914-1112    
Dr. Lisa E Hart, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 715 W Main St Ste S, Jenks, OK 74037
Phone: 918-745-0501    Fax: 918-747-9778
Melinda Dandridge, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 410 E Main St, Jenks, OK 74037
Phone: 918-298-5437    Fax: 918-298-5438

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