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MS. KATELYN PENA
NPI 1578019089
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Active since August 26, 2016
4028 FAIRWAY LAKES DR, MYRTLE BEACH, SC 29577(843) 222-1017 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Katelyn Pena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATELYN PENA (NPI 1578019089) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1578019089
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KATELYN PENA
Location Address4028 FAIRWAY LAKES DRMyrtle Beach, SC 29577-5925
Mailing Address4028 Fairway Lakes DrMyrtle Beach, SC 29577-5925 · (843) 222-1017
Phone(843) 222-1017
Sole ProprietorYes
Enumeration DateAugust 26, 2016
✔ NPI 1578019089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4028 FAIRWAY LAKES DR, Myrtle Beach, SC 29577
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Pena's NPI number?

The NPI number for Katelyn Pena is 1578019089. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Katelyn Pena located?

Katelyn Pena practices at 4028 Fairway Lakes Dr, Myrtle Beach, SC 29577. The listed phone number is (843) 222-1017.

What is Katelyn Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katelyn Pena was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.