Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy K Jennings, PAC

Individual provider Physician Assistant · NPI 1750496378

Mr. Timothy K Jennings, PAC is a Physician Assistant in Fort Campbell, Kentucky. Qualified in 2002, 24 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Kentucky.

Years since qualifying
24
Licensed in
IL, KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1390 Hope Dr, Carbondale, IL 62901-5306 — (618) 351-4972

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2478 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 085001881 (IL)

Record details

NPI number1750496378
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fort Campbell