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Kathleen L Irvin

Female

Medical Specialty

Certified Registered Nurse Anesthetist

Professional ID

NPI: 1538128145
PECOS ID: 3476459637
Enrollment ID: I20031209000492
Credential(MD, DO, DPM): CNA
Medical School:
Medical School Graduation Year: 1984

Hospital Service

Hospital CCN1: 420083
Business Name (LBN)1: Mary Black Health System Spartanburg
Hospital CCN2: 420015
Business Name (LBN)2: Baptist Easley Hospital

Medical Practices

Organization Name: Baptist Easley Hospital
Group Practice ID assigned by PECOS: 0840337606
Number of Group Practice member: 134

Location

Address1: 200 Fleetwood Dr
Address2:
City: Easley
State: South Carolina
Zip Code: 29640
Phone Number:

Medical Practices

Organization Name: Medstream Anesthesia Pllc
Group Practice ID assigned by PECOS: 7416198049
Number of Group Practice member: 443

Location

Address1: 1700 Skylyn Dr
Address2:
City: Spartanburg
State: South Carolina
Zip Code: 29307
Phone Number: (828)398-5244

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):