DEPARTMENT OF INSURANCE
Course Attendance Information
PR01597: Kentucky Self Insurers Association
Experior Provider Number: S16710 
Provider Type: Independent
Certification Date: 7/26/2011

Address: 5932 Timber Ridge Dr.
Ste. 101
Prospect, KY 40059
Contact: Angela Underwood
Telephone: 502-223-5322
Status: Active
Termination Date: N/A
View Instructors

Course Attendees
Course Name :  Interpreting Physical Therapy Notes
DOI IDNameCompletion Date Compliance Date
809484 Kopple, Kathy Marie 04/26/2016 12/31/2017
795707 King, Debra D 04/26/2016 06/30/2016
313195 Long, Judy Bartlett 04/26/2016 11/30/2016
535240 Milam, Penny Michelle 04/26/2016 08/31/2017
390625 Patrick, Doyle F 04/26/2016 07/31/2017
345309 Payton, Desiree Lynn 04/26/2016 10/31/2016
365237 Sisson, Gregory Edward 04/26/2016 01/31/2018
325115 Smith, Debra D 04/26/2016 06/30/2017
351204 Snook, Ruth Lynn 04/26/2016 02/28/2018
326796 Taylor, Barbara J 04/26/2016 08/31/2016
574804 Taylor, Rachel Anne 04/26/2016 07/31/2016
322397 Thompson, Linda Carol 04/26/2016 08/31/2017
311798 Truax, Cathy Marie 04/26/2016 03/31/2017
779940 Wildenhaus, Benjamin Dean 04/26/2016 01/31/2017
566958 Wilson, Sandra Kay 04/26/2016 06/30/2016
658961 Yeast, Patricia Vogler 04/26/2016 08/31/2016
690129 Williams, Chicarla Nichole 04/26/2016 04/30/2017
340994 Alvarez, Sandra 04/26/2016 08/31/2016
580906 Ballinger, Dana Marie 04/26/2016 09/30/2017
303142 Green, Deanna J 04/26/2016 05/31/2016
328581 Burford, John Noble 04/26/2016 06/30/2016
638503 Byrd, Deborah Mary 04/26/2016 01/31/2017
355167 Devore, Dennis James 04/26/2016 05/31/2017
315908 Edlin, Laverna Faye 04/26/2016 05/31/2016
373880 Ernspiker, Laura A 04/26/2016 11/30/2016
311715 Freedman, Marilyn Gail 04/26/2016 12/31/2016
372543 Gasser, Scott D 04/26/2016 10/31/2017
305813 Hines, William P 04/26/2016 03/31/2017
586067 Hopper, Angela Marie 04/26/2016 07/31/2017
389774 Houston, Debra E 04/26/2016 04/30/2016
316780 Jones, Dorothea 04/26/2016 05/31/2017
779488 Keefer, Anthony Shawn 04/26/2016 09/30/2017
364123 Lee, Richard Michael 04/26/2016 07/31/2017

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