DEPARTMENT OF INSURANCE

Name	Keith, Megan Nicole	DOIID	1297718	NAIC NPN	20847771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	9/19/2023		5/31/2025
Active	Resident	Agent	Health	9/21/2023		5/31/2025

*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
Residence	Not Public Information
Business / Home Office	Delta Dental Of Kentucky 10100 Linn Station RoadLouisville, KY 40223

Phone Information

Type	Phone
Business / Home Office	(502) 548-7759