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DR. KATHLEEN SHEPHERD KOLJACK MD
NPI 1538112370
Pediatrics in Jenks, OK

Active since May 19, 2006
701 E MAIN ST, JENKS, OK 74037(918) 298-2264(918) 298-0923 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Kathleen Shepherd Koljack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN SHEPHERD KOLJACK MD (NPI 1538112370) is an individual pediatrics provider in Jenks, Oklahoma, licensed in Oklahoma (15092) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1538112370
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN SHEPHERD KOLJACKCredential: MD
Location Address701 E MAIN STJenks, OK 74037-4316
Mailing Address701 E Main StJenks, OK 74037-4316 · (918) 298-2264 · Fax (918) 298-0923
Phone(918) 298-2264
Fax(918) 298-0923
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 1, 2014
✔ NPI 1538112370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 15092
Definition
A pediatrician 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.
701 E MAIN ST, Jenks, OK 74037
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Other Identifiers 3

Medicare UPINF20179
Medicaid100056450DOK
Medicare ID-Type Unspecified249425305

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE ELAINE BRYANT D.O.
Obstetrics & Gynecology
701 E MAIN ST
JENKS, OK 74037
Tulsa County (918) 298-2264
MATTHEW BRYAN FOWLER D.O.
Family Medicine
701 E MAIN ST
JENKS, OK 74037
Tulsa County (918) 298-2264
WILLIAM POWELL DUDNEY II MD
Family Medicine
701 E MAIN ST
JENKS, OK 74037
Tulsa County (918) 298-2264
KAYLA J HANSEN APRN
Nurse Practitioner (Family)
701 E MAIN ST
JENKS, OK 74037
Tulsa County (918) 298-2264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Koljack's NPI number?

The NPI number for Kathleen Koljack is 1538112370. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kathleen Koljack located?

Kathleen Koljack practices at 701 E Main St, Jenks, OK 74037. The listed phone number is (918) 298-2264.

What is Kathleen Koljack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kathleen Koljack was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.