Dr. Kathleen Shepherd Koljack
MD | Pediatrics | Female
Dr. Kathleen Shepherd Koljack, MD is a Jenks, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kathleen Shepherd Koljack is
701 E Main St, Jenks, Oklahoma - 74037-4316. She can be contacted on phone at
918-298-2264 and fax number 918-298-0923.
Dr. Kathleen Shepherd Koljack is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathleen Shepherd Koljack is
1538112370 which was assigned by NPPES on 19 May, 2006 and it was last updated on 01 May, 2014.
Dr. Kathleen Shepherd Koljack license number is
15092 for Pediatrics (208000000X) in Oklahoma.
Dr. Kathleen Shepherd Koljack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kathleen Shepherd Koljack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Kathleen Shepherd Koljack |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Kathleen Shepherd Koljack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 701 E Main St
Jenks, OK, 74037-4316
United States |
|---|
| Phone Number : | 918-298-2264 |
|---|
| Fax Number : | 918-298-0923 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538112370 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 19 May, 2006 |
|---|
| Last Updated On : | 01 May, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen Shepherd Koljack are as mentioned. Primary taxonomy code for Dr. Kathleen Shepherd Koljack, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 15092 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathleen Shepherd Koljack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100056450D | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 701 E Main St
Jenks, OK, 74037-4316
United States |
|---|
| Phone Number : | 918-298-2264 |
|---|
| Fax Number : | 918-298-0923 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kathleen Shepherd Koljack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.