Individual
KELLI RUTH SABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 N MILLER RD, FAIRLAWN, OH 44333-3766
(330) 836-8471
Mailing address
130 N MILLER RD, FAIRLAWN, OH 44333-3766
(330) 836-8471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
350705645S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312589
ANTHEM INSURANCE
OH
05
—
0276133
—
OH
01
—
426
SUMMACARE INS
OH
01
—
729922
BUCKEYE COMMUNITY
OH
01
—
93272
QUALCHOICE INS
OH
01
—
Q018591
HOMETOWN INS
OH
Enumeration date
03/08/2006
Last updated
07/24/2008
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