Dr Kathleen Shepherd Koljack, MD 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

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Shepherd Koljack
Gender	Female
Speciality	Pediatrics
Location	701 E Main St, Jenks, Oklahoma
Accepts Medicare Assignments	Does 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.

Identifier	Type	State	Issuer
1538112370	NPI	-	NPPES
100056450D	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 Address	Practice 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

Reviews and Comments

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

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