Individual
MR. TIMOTHY K JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4677
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001881
IL
363A00000X
Physician Assistant
Primary
PA2478
KY
Other
Enumeration date
08/21/2006
Last updated
08/07/2025
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