Individual
BENJAMIN KEITH WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
Mailing address
109 N BROADWAY ST, SOUTH WEST CITY, MO 64863-9417
(417) 762-3287
(417) 762-3255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1037
AR
363A00000X
Physician Assistant
Primary
2025037891
MO
363A00000X
Physician Assistant
4746
OK
Other
Enumeration date
11/29/2021
Last updated
11/12/2025
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