Individual
SAMUEL CLELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 AUDUBON PLAZA DR STE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Mailing address
3 AUDUBON PLAZA DR STE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
298939
KY
213E00000X
Podiatrist
Primary
SC007414
PA
Other
Enumeration date
04/05/2021
Last updated
01/15/2026
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