MEDICARE: KEEGHAN ANTHONY BREWER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1598620015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEEGHAN ANTHONY BREWER

Provider Business Mailing Address
First Line	:	4132 SETTLE ST APT C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-3072
Country	:	US
Telephone Number	:	859-739-0601
Fax Number	:

Provider Business Practice Location Address
First Line	:	11692 SYMMES VALLEY DR
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-9357
Country	:	US
Telephone Number	:	513-773-7119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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