| Doctor Name: | RICHARD F JENNINGS |
| NPI Number: | 1083694301 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 36003153 |
| Business Practice Address: | 1400 S Main St Bellefontaine, OH - 433111581 |
| Business Phone Number: | 9375993668 |
| Business Fax Number: | 9375994852 |
| Mailing Address: | 1400 S Main St, BELLEFONTAINE |
| State: | OH |
| Postal Code: | 433111581 |
| Phone Number: | 9373223346 |
| Fax Number: | 9373223348 |
| NPI Enumeration Date: | 01/20/2006 |
| NPI Last Update Date: | 12/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36003153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |