Provider Demographics
NPI:1023980646
Name:MWENESHELE, WINNER BENJAMIN
Entity type:Individual
Prefix:
First Name:WINNER
Middle Name:BENJAMIN
Last Name:MWENESHELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 CURLING WAY
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-4571
Mailing Address - Country:US
Mailing Address - Phone:270-791-3334
Mailing Address - Fax:
Practice Address - Street 1:1917 CURLING WAY
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4571
Practice Address - Country:US
Practice Address - Phone:270-791-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi