NPI 1124607585 · live from the CMS NPI Registry
Samuel Clellen
Podiatrist in Louisville, KY. National Provider Identifier 1124607585, active.
NPI record
| NPI | 1124607585 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3 Audubon Plaza Dr Ste 320, Louisville, KY 40217 |
| Practice phone | 502-893-1844 |
| Enumerated | April 5, 2021 |
| Last updated | January 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 298939 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.