JACK FENNEL (DO) – Adult Medicine Physician, NPI 1356300271

JACK FENNEL (DO) is a healthcare provider. based in Fort leonard wood, Missouri. specializing in Adult Medicine Physician. They hold the professional credentials DO. They hold a License No. R9D28 (MO). The NPI Number for JACK FENNEL (DO) is 1356300271

Main info

Male
Name
JACK FENNEL (DO)
NPI
1356300271
Phone
(573) 329-8305
Address
126 MISSOURI AVE
Enumeration Date
20 March 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACK FENNEL (DO)

  • Fort Leonard Wood, Pulaski County, Missouri, 65473, United States

    FORT LEONARD WOOD, MO 654738952

    Phone: (573) 329-8305

    Fax: (573) 329-8302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65473)

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Frequently asked questions

Can I cross-check JACK FENNEL (DO) using NPI 1356300271?
NPI 1356300271 belongs to JACK FENNEL (DO); compare other details if you need extra assurance.
Is there an active status for JACK FENNEL (DO)?
For scheduling context, JACK FENNEL (DO) is shown as active in the registry.
What expertise is attributed to JACK FENNEL (DO)?
JACK FENNEL (DO)'s specialty line reads Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JACK FENNEL (DO)?
Directory geography for JACK FENNEL (DO) centers on Fort Leonard Wood, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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