# FIRST STOP URGENT CARE BROADWAY PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104132687
- **Authorized official:** DR. KAMLESH C DAVE MD (OWNER/PRESIDNET)
- **Authorized official phone:** (502) 693-2465

## Contact information

- **Practice address:** 927 E BROADWAY, LOUISVILLE, KY 40202
- **Practice address phone:** (502) 693-2465
- **Mailing address:** 927 E BROADWAY, LOUISVILLE, KY 40202
- **Mailing address phone:** (502) 749-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 08/26/2011