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

Yes, under physician delegation; specific scope defined by board rules NP/PA may inject under physician supervision; independent practice not permitted 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; specific scope defined by board rules

Nurse practitioners & physician assistants

NP/PA may inject under physician supervision; independent practice not permitted for injectables

Supervision & the medical director

Required for facilities with RN/LPN injectors

The exam requirement

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

What to verify in Kentucky

Verify current Kentucky Board of Nursing and Medical Board guidance on RN injection scope and obtain written medical director agreement before launch.

Primary source: Kentucky Medical Board and 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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