MEDICARE: MS. KEYSHA BRITTON RN

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	163WC1500X	Community Health Registered Nurse	504169	OH
2	163WM0102X	Maternal Newborn Registered Nurse	504169	OH
3	163WL0100X	Lactation Consultant (Registered Nurse)	504169	OH
4	163W00000X	Registered Nurse	504169	OH

General Provider Information

NPI Number	:	1861284515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KEYSHA BRITTON RN

Provider Business Mailing Address
First Line	:	225 WARWICK AVE APT A
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-2916
Country	:	US
Telephone Number	:	574-378-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 WARWICK AVE APT A
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-2916
Country	:	US
Telephone Number	:	574-378-0612
Fax Number	:

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

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	06/18/2026

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