NPI 1538112370

Kathleen Shepherd Koljack, MD

Practitioner Pediatrics Physician Jenks, OK

Practice location

Address: 701 E Main St, Jenks, OK 74037-4316
Phone: (918) 298-2264
Fax: (918) 298-0923

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 15092 (OK)

Other Pediatrics providers in Oklahoma →

Registry record

NPI: 1538112370
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2006
Record last updated: 1 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.