DEPARTMENT OF INSURANCE
Licensee Search Details
NameSelf, Kimberly AnnDOIID559614NAIC NPN7499639
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration DateDesignated Home State
InactiveNon ResidentAgentHealth3/17/20197/31/2020  
InactiveNon ResidentAgentLife3/17/20197/31/2020  
*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
TypeAddress
Business / Home OfficeAnthem Blue Cross & Blue Shield 13550 Triton Park Blvd.Louisville, KY 40223
ResidenceNot Public Information
Internet Information
TypeAddress
Business Emailkim.self@anthem.com
Phone Information
TypePhone
Business / Home Office(502) 889-2399

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