NPI 1174122758

Kmjv Operation LLC

Organisation Lodging Provider Lakeville, MN

Practice location

Address: 19351 Indiana Ave, Lakeville, MN 55044-4849
Phone: (952) 206-4650
Mailing address: 6404 W North Ave, Wauwatosa, WI 53213

Authorised official

Name: Aaron R Matter
Title: Manager
Phone: (773) 658-2165

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Minnesota →

Registry record

NPI: 1174122758
Entity type: Organization
NPI issued: 23 Oct 2020
Record last updated: 23 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.