Vis, Kenneth Wayne

Vis, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 1125 Washington Ave , Grand Haven MI 49417-1625. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vis, Kenneth Wayne can be contacted via phone (616) 842-4360.

Contact Information

Primary practice address
1125 Washington Ave Grand Haven MI 49417-1625
Phone: (616) 842-4360
Fax: (616) 842-9590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302411182 Michigan

Profile Details

NPI number 1154402196
LBN Legal business name Vis, Kenneth Wayne
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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