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

Yes, under physician delegation and direct supervision Requires physician supervision; cannot practice independently for injectables

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 and direct supervision

Nurse practitioners & physician assistants

Requires physician supervision; cannot practice independently for injectables

Supervision & the medical director

Not statutorily required, but recommended for oversight and liability

The exam requirement

Required; in-person preferred, telehealth varies by board interpretation

What to verify in Kentucky

Confirm with the Kentucky Medical Board whether your supervising physician's delegation and telehealth protocols comply with current board guidance.

Primary source: Kentucky Medical Board

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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