Healthcare Provider Details

I. General information

NPI: 1861284515
Provider Name (Legal Business Name): KEYSHA BRITTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 POE AVE
DAYTON OH
45414-2559
US

IV. Provider business mailing address

225 WARWICK AVE APT A
HAMILTON OH
45013-2916
US

V. Phone/Fax

Practice location:
  • Phone: 937-280-4631
  • Fax:
Mailing address:
  • Phone: 574-378-0612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28274042C
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number504169
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number504169
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: