JACK FENNEL, DO, Adult Medicine FORT LEONARD WOOD, MO

Contact Information

JACK FENNEL, DO

126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952

Phone: 573-329-8305
Fax: 573-329-8302
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Medicine	207QA0505X	08	Physician/Family Practice
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for JACK FENNEL · (Male)

NPI #	`1356300271`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	03/20/2006
Last updated	09/11/2025 - About 9 months ago
Sole proprietor ¹	Not specified
Identifiers	MO License # R9D28
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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