Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Katelyn Pena

Individual provider Athletic Trainer · NPI 1578019089

MS. Katelyn Pena is an Athletic Trainer in Myrtle Beach, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

4028 Fairway Lakes Dr
Myrtle Beach, SC 29577-5925
Phone: (843) 222-1017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1578019089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 26, 2016
Mailing address4028 Fairway Lakes Dr, Myrtle Beach, SC 29577-5925

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