Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN KEITH WINN, PA-C
ActiveBENJAMIN KEITH WINN, PA-C is a Physician Assistant healthcare provider located in SOUTH WEST CITY, Missouri. NPI 1629736459 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH WEST CITY, MO
Registration Details
- NPI Number
- 1629736459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2021 (4.6915193418935 yrs)
- Last Updated
- Nov 12, 2025
- Licenses
-
4746 (OK)1037 (AR)2025037891 (MO)
Practice Information
- Address
-
109 N BROADWAY STSOUTH WEST CITY, MO, 648639417Browse MO providers · Browse ZIP 64863
- Phone
- 4177623287
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.