Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiefer Samp

Individual provider Pharmacist · NPI 1770365124

Kiefer Samp is a Pharmacist in Watertown, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

301 W Main St
Watertown, WI 53094-7629
Phone: (920) 206-9588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 22361-40 (WI)

Record details

NPI number1770365124
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address301 W Main St, Watertown, WI 53094-7629

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