Individual
TIMOTHY JENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Mailing address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TP456
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101067540
—
KY
Enumeration date
03/31/2020
Last updated
08/04/2026
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