Search › Wisconsin › 183500000X
Kiefer Samp
NPI 1770365124 · on the registry since 2023 · sole proprietor
Practice
- Address
- 301 W Main St
Watertown, WI 53094 - Phone
- (920) 206-9588
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin