DEPARTMENT OF INSURANCE

Name	Kephart, Roger Duane	DOIID	335789	NAIC NPN	2785112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/1/2015
Inactive	Resident	Agent	Property	8/15/2000	9/1/2015
Inactive	Resident	Agent	General Lines	2/21/1978	8/15/2000
Inactive	Resident	Agent	Health	11/14/1991	9/1/2015
Inactive	Resident	Agent	Life	11/14/1991	9/1/2015

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	101 Main Street P. O. Box 1167Fulton, KY 42041
Mailing	P O Box 1167 Fulton, KY 42041
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 472-1061
Fax	(270) 472-6278