KMJV Operation LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

KMJV OPERATION LLC

Practice address

19351 Indiana Ave
Lakeville, MN 55044-4849

Phone

(952) 206-4650

NPI assigned

Oct 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron R Matter

Title

Manager

Phone

(773) 658-2165

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1174122758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 INDIANA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444849",
            "telephone_number": "952-206-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJV OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MATTER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-658-2165"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kippley, PA-C
• Kevin P Kirley, M.S.
• Jessica Kay Klein, RN
• Lori Anne Klein, LMFT
• Shannon Klocke, RPH
• Logan Marie Knip
• Kimberly Denton Koch, DDS
• Jeffery Arthur Kohler Jr., D.D.S.
• Katherine M Kohler, CRNA
• Ami Komlanvi, PA-C

• Lodging Provider in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Lodging Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.