IndividualActive
Jack Fennel, DO
NPI 1356300271 · Adult Medicine Physician · Fort Leonard Wood, MO
Provider details
- NPI number
- 1356300271
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- License
- R9D28 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Phone: (573) 329-8305
Fax: (573) 329-8302
Approximate (ZIP-level) locationGet directions
Mailing address
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.