Search → KEITH V. FORD
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
KEITH V. FORD
PRODUCER NON-RESIDENT
License Number:
PRN499460
Status:
First Licensure:
10/25/2024
Cancel Date:
None
Mailing:
CHARLOTTE, NC 28213
Phone:
+1 (980) 200-5055
Fax:
+1 (813) 984-3201
Email:
keithvford@gmail.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 10/25/2024 |
Agency
None.
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN STRATEGIC INSURANCE CORP |
04/03/2025 | PCF258492 | ||
| THE CINCINNATI CASUALTY COMPANY |
04/03/2025 | PCF137248 | ||
| THE CINCINNATI INSURANCE COMPANY |
04/03/2025 | PCF989 | ||
| NATIONWIDE MUTUAL INSURANCE COMPANY |
04/06/2025 | PCF32 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 03/27/2025 | Active | |
| HEALTH | 10/25/2024 | Active | |
| PROPERTY | 03/27/2025 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
10994689
| Address | Type |
|---|---|
| 9115 HARRIS CORNERS PKWY STE 200 CHARLOTTE, NC 28269-3709 |
Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 05/25/2025 11:39:44 PM
