OrganizationActive
Ahs Oklahoma Physician Group, LLC
NPI 1215091640 · Pediatrics Physician · Jenks, OK
Provider details
- NPI number
- 1215091640
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Langland, Cfo(918) 579-1000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
701 E Main St
Jenks, OK 74037-4316
Phone: (918) 298-2264
Fax: (918) 298-0923
Approximate (ZIP-level) locationGet directions
Mailing address
1145 S Utica Ave
Tulsa, OK 74104-4000
Other names (DBA / former)
- Doing business as
- Kathleen Koljack, MD
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.