Can registered nurses and nurse practitioners inject Botox and fillers in Kentucky?

Yes, under physician delegation; scope varies by board interpretation NP/PA may inject under physician collaboration; independent practice limited

Kentucky · Moderate

Can RNs and Nurse Practitioners Inject Botox in Kentucky?

Nurses do most of the injecting in this industry — but Kentucky draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation; scope varies by board interpretation

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice limited

Supervision & the medical director

Required for medical spa; physician supervision mandatory

The exam requirement

Required; in-person or telehealth allowed under certain conditions

What to verify in Kentucky

Verify with the Kentucky Medical Board and Board of Nursing whether telehealth GFE is acceptable for your specific aesthetic services and document physician-patient relationship clearly.

Primary source: Kentucky Medical Board; Kentucky Board of Nursing

General business information for Kentucky medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Kentucky board (and your own counsel) before you act.

See the full Kentucky regulation profile →

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