Who can inject
MD, DO, NP, PA, RN under physician supervision
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
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
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.