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

Samuel Clellen

Individual provider Podiatrist · NPI 1124607585

Samuel Clellen is a Podiatry in Louisville, Kentucky. Graduated from Barry University School of Podiatric Medicine in 2021, 5 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Trained at
Barry University School of Podiatric Medicine
Licensed in
KY
In the registry since
2021

Practice location Address checks out

3 Audubon Plaza Dr Ste 320
Louisville, KY 40217-1319
Phone: (502) 893-1844
Show map & directions

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

Additional practice locations (1)

  • 1802 Allison Ln, Jeffersonville, IN 47130-5809 — (502) 893-1844

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 298939 (KY)

Record details

NPI number1124607585
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address3 Audubon Plaza Dr Ste 320, Louisville, KY 40217-1319

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Louisville