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 :  2022MedicareSecondaryPayerUpdateonWorkersCompInsPr
DOI IDNameCompletion Date Compliance Date
303142 Bielefeld, Deanna J 05/16/2022 05/31/2022
554693 Howard, Pennye 05/16/2022 05/31/2023
632733 Cahill, Erin V 05/16/2022 03/31/2024
373880 Ernspiker, Laura A 05/16/2022 11/30/2022
311715 Freedman, Marilyn Gail 05/16/2022 12/31/2022
549709 Goldener, Kristi Gail 05/16/2022 01/31/2024
344074 Kleier, Cindy 05/16/2022 04/30/2023
343652 Martin, Bernita Sue 05/16/2022 11/30/2023
383631 McCubbins, Elizabeth Rose 05/16/2022 12/31/2022
322004 Meredith, Edward W 05/16/2022 03/31/2024
325115 Smith, Debra D 05/16/2022 06/30/2023
367394 Brown, Kristi Jane 05/16/2022 12/31/2022
378027 Smith, Sonia L 05/16/2022 10/31/2023
382379 Wheatley, Mary Patricia 05/16/2022 11/30/2023
643894 Blevins, Janie Lynn 05/16/2022 03/31/2024
327332 Burch, David A 05/16/2022 05/31/2022
303039 Massey, Leigh Anne 05/16/2022 09/30/2022
327733 Wheatley, Charles Brian 05/16/2022 02/29/2024
724280 Perkins, Cindy Anne 05/16/2022 11/30/2023
345309 Payton, Desiree Lynn 05/16/2022 10/31/2022
333847 Crawford, Tracy Lynn 05/16/2022 01/31/2024
514032 Dale, Sharon Elaine 05/16/2022 11/30/2023
316780 Jones, Dorothea 05/16/2022 05/31/2023
710766 Miller, Cassie Rae 05/16/2022 12/31/2023
1151877 Hanson, Tara 05/16/2022 10/31/2023
1025340 Hardin, Ashley M 05/16/2022 01/31/2023
554751 Aldridge, Crystal Michelle 05/16/2022 09/30/2023
796700 Bell, Tina Ann 05/16/2022 06/30/2022
336479 Gabbard, Angela Marie 05/16/2022 11/30/2021
311798 Truax, Cathy Marie 05/16/2022 03/31/2023
358127 Layman Huff, Karen Marie 05/16/2022 04/30/2024
308627 Johnson, Venise W. 05/16/2022 04/30/2024
707566 Kilgore, Angela Cher 05/16/2022 03/31/2023
313195 Long, Judy Bartlett 05/16/2022 11/30/2022
347534 McIntosh, Robin C 05/16/2022 01/31/2024
549323 Askins, Julia A 05/16/2022 03/31/2024
335649 Bishop, Denise S 05/16/2022 01/31/2024
998251 Miller, Rachel Lynn 05/16/2022 02/28/2023
390625 Patrick, Doyle F 05/16/2022 07/31/2023
326796 Taylor, Barbara J 05/16/2022 08/31/2022
526015 Thompson, Hope 05/16/2022 10/31/2023
883746 Wilson, Robert Wayne 05/16/2022 12/31/2023
566958 Wilson, Sandra Kay 05/16/2022 06/30/2022
535240 Milam, Penny Michelle 05/16/2022 08/31/2023
338657 Elliott, Lisa M 05/16/2022 09/30/2022
864490 Senters, Kristine L 05/16/2022 02/29/2024
619543 Sharp, Christina G 05/16/2022 05/31/2023
339619 Stayton, Traci L 05/16/2022 10/31/2022
580906 Ballinger, Dana Marie 05/16/2022 09/30/2023

© Commonwealth of Kentucky. All rights reserved.