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
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