Provider Demographics
NPI:1457429615
Name:DONOVAN SHERPA, KATHERINE LENSKI (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LENSKI
Last Name:DONOVAN SHERPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:LENSKI
Other - Last Name:DONOVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD LLC
Mailing Address - Street 1:154 WENTWORTH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-1732
Mailing Address - Country:US
Mailing Address - Phone:843-723-1117
Mailing Address - Fax:843-723-1117
Practice Address - Street 1:154 WENTWORTH ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1732
Practice Address - Country:US
Practice Address - Phone:843-723-1117
Practice Address - Fax:843-723-1117
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC116872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
086047Medicare UPIN