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

Shane Kloppenburg

Individual provider Pharmacist · NPI 1164055778

Shane Kloppenburg is a Pharmacist in Watertown, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020

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 19877 (WI)

Record details

NPI number1164055778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address301 W Main St, Watertown, WI 53094-7629

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