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

Mr. Kenneth Wayne Vis, RPH

Individual provider Pharmacist · NPI 1154402196

Mr. Kenneth Wayne Vis, RPH is a Pharmacist in Grand Haven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1125 Washington Ave
Grand Haven, MI 49417-1625
Phone: (616) 842-4360
Fax: (616) 842-9590
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302411182 (MI)

Record details

NPI number1154402196
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address13670 Cleveland Ave, Nunica, MI 49448-9661

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