MEDICARE: KGC OPERATOR, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1942476841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KGC OPERATOR, INC.

Provider Business Mailing Address
First Line	:	6737 W WASHINGTON ST
Second Line	:	SUITE 2300
City	:	MILWAUKEE
State	:	WI
Zip	:	53214-5647
Country	:	US
Telephone Number	:	414-918-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 S MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6600
Country	:	US
Telephone Number	:	405-691-0409
Fax Number	:

Authorized Official
Title or Position	:	CO-PRESIDENT
Name	:	MARK OHLENDORF
Credential	:
Telephone Number	:	414-918-5000

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/08/2008

Similar Medicare Providers

1942318704 — APRIA HEALTHCARE LLC
Practice Location Address:

6025 W RENO AVE , STE E-F
OKLAHOMA CITY, OK
73127-6600

Practice Phone: 405-495-1919
Practice Fax: 405-495-1922

1609064351 — STEVEN E. WATSON, D.O.
Practice Location Address:

6600 S WESTERN AVE , SUITE A
OKLAHOMA CITY, OK
73139-1700

Practice Phone: 405-631-9091
Practice Fax: 405-631-9990

1114339660 — DR. KELLY GREENLEE DDS
Practice Location Address:

1908 S POST RD BLDG 1
OKLAHOMA CITY, OK
73130-6600

Practice Phone: 405-732-2230
Practice Fax:

1104216662 — MORGAN HANNI PA-C
Practice Location Address:

6600 N OLIE AVE STE C
OKLAHOMA CITY, OK
73116-7339

Practice Phone: 405-419-5665
Practice Fax: 405-419-5429

1467824862 — MIGNON RODRIGUEZ
Practice Location Address:

6600 S HARVEY PL
OKLAHOMA CITY, OK
73139-7314

Practice Phone: 405-503-5656
Practice Fax:

1932653201 — DANIELLA SARA PETERS PT
Practice Location Address:

6600 N OLIE AVE
OKLAHOMA CITY, OK
73116-7331

Practice Phone: 405-227-9445
Practice Fax:

Directions to “KGC OPERATOR, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.