Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation
Registered nurses (RNs)
Yes, under physician delegation and direct supervision
Nurse practitioners & physician assistants
Requires physician supervision; cannot practice independently for injectables
The exam that makes it legal
Required; in-person preferred, telehealth varies by board interpretation A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
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.