Organization
FIRST STOP URGENT CARE BROADWAY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMLESH C DAVE MD (OWNER/PRESIDNET)
(502) 693-2465
Entity
Organization
Contact information
Practice address
927 E BROADWAY, LOUISVILLE, KY 40202
(502) 693-2465
Mailing address
927 E BROADWAY, LOUISVILLE, KY 40202
(502) 749-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/23/2010
Last updated
08/26/2011
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