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

Samuel Coryell, PA-C

Individual provider Physician Assistant · NPI 1043949126

Samuel Coryell, PA-C is a Physician Assistant in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.

Licensed in
KY
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3605 Fern Valley Rd
Louisville, KY 40219-1916
Phone: (502) 964-4889
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC222 (KY)

Record details

NPI number1043949126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

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