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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH WAYNE VIS, RPH

Active Sole Proprietor

MR. KENNETH WAYNE VIS, RPH is a Pharmacist healthcare provider located in GRAND HAVEN, Michigan. NPI 1154402196 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GRAND HAVEN, MI

Registration Details

NPI Number
1154402196
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2006 (19.639329342815 yrs)
Last Updated
Jul 8, 2007
License
5302411182 (MI)
Sole Proprietor
Yes

Practice Information

Address
1125 WASHINGTON AVE
GRAND HAVEN, MI, 494171625
Browse MI providers · Browse ZIP 49417
Phone
6168424360
Fax
6168429590
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in GRAND HAVEN, MI

Name Credential NPI
MR. NEAL MILLER PHARMACIST 1720070402
MR. THOMAS G SPOELMAN R.PH. 1154391670
MR. DWAYNE GLENN BLOEMERS RPH 1487723656
MRS. SHAWN C BONNER RPH 1528282076
MR. KOREY S KEMP RPH 1801185129
MR. ROBERT D PRELESNIK R.PH. 1295015782
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.