Kentucky physician licensing.

One board licenses MDs and DOs, by endorsement or through the IMLC, and every regular license waits for the full board’s approval at a quarterly meeting.

This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.

Kentucky licenses MD and DO physicians through one board, the Kentucky Board of Medical Licensure, by endorsement or through the IMLC, and can be your state of principal license. With a first FCVS profile, which the board requires, a regular license costs $752.75 in published fees: the $300 license fee, FCVS at $395 with its $3.50 NPDB report, a $3 NPDB self-query, and the board’s $51.25 fee for the FBI criminal background check. Compact fees total $1,000. The board’s FAQ estimates approximately 60 to 90 days for the application process. The friction is the calendar: every regular license waits for full board approval at a quarterly meeting, and a temporary permit can bridge the wait.

Kentucky at a glance.

License
Regular license to practice medicine or osteopathy (MD or DO), renewed every year
MD and DO
One board, one application, and one $300 fee for both
IMLC
Member state, issuing licenses. Enacted 2019, participating since September 21, 2020; Kentucky can be the SPL; $700 IMLCC fee plus $300 for Kentucky
FCVS
Required by the board for every regular license since March 1, 2005
Uniform Application
Not used; the board takes its own online application
Fingerprints
Required: a Kentucky State Police and FBI check from new prints; a check sent to another state does not count
Jurisprudence exam
None
Interview
Not routine; the executive director can require any applicant to appear
Board fee
$300 regular license fee, nonrefundable
Renewal
Every year by March 1: $150; a license not renewed by April 1 goes inactive
CME
60 hours every three years, and 4.5 on KASPER, pain management, or addiction for prescribers

Which route fits.

MDs and DOs file the same application with the Kentucky Board of Medical Licensure, for the same $300 fee and the same regular license, and the IMLC is a second way to a full Kentucky license. Kentucky has no out-of-state telehealth registration: its law requires a license or permit from the board to practice medicine in the state, and the board’s published opinion is that telemedicine is practiced where the patient is located. So outside narrow exemptions, such as a nonresident physician called in occasionally to consult with a Kentucky physician, treating a patient located in Kentucky takes a Kentucky license.

Licensure by endorsement.

Who it fits
MDs and DOs first licensed in another state, in good standing there, who would have met Kentucky’s regular-license requirements had they first applied here; no further testing or training is needed. That includes physicians the compact excludes, such as those without specialty certification, which Kentucky does not require. A physician not yet licensed anywhere applies for the same regular license.
The trade-off
The full file for every applicant: a required FCVS profile, an NPDB self-query, a written endorsement from your original licensing state, and new fingerprints for a state and FBI check, for $752.75 in published fees, or $456.75 with an existing FCVS profile. Every regular license then waits for the full board’s approval at a quarterly meeting, and a file goes to a meeting only if it is complete, except for the background check, by the board’s deadline before it; a temporary permit can cover the wait if you need to start sooner.

Licensing board: Kentucky Board of Medical Licensure.

The IMLC.

Who it fits
Physicians whose state of principal license is another member state and who meet the compact’s terms, which include specialty certification and each exam component passed within three attempts. Kentucky can also be your state of principal license, to add other member states, if you hold its full license and Kentucky is your primary residence, the site of at least 25% of your practice, or your employer’s location, or, failing those, your federal tax residence.
The trade-off
Fees total $1,000, $700 to the IMLCC and $300 for Kentucky, none of it refundable, against $752.75 to apply directly with a first FCVS profile, or $456.75 with an existing one; adding Kentucky to a Letter of Qualification still within its 365 days costs $400. Your state of principal license runs the background check, and a license issued through the compact renews through the IMLCC, not the board.

What it costs.

MD or DO license by endorsement
Regular license fee$300
FCVS profile, required, USMLE transcripts included$395, or $99 for an existing profile
NPDB report, billed through FCVS$3.50
NPDB self-query$3.00
FBI criminal background check, the board’s published fee$51.25
All-in$752.75, or $456.75 with an existing FCVS profile
Our service feeQuoted with your plan
MD or DO license through the IMLC
IMLCC fee$700
Kentucky license fee, from the IMLCC fee table$300
All-in$1,000
Our service feeQuoted with your plan

The $300 goes to the board with the online application, the same for an MD or a DO, and the board calls licensure fees non-refundable; its FAQ says the temporary permit carries no separate fee, since the $300 covers it. FCVS fees go to FSMB, including the $3.50 NPDB report on each profile sent to this board, which uses FSMB as its agent for that report. The self-query is the NPDB’s $3 annual subscription, which the board’s FAQ asks of every applicant for a full license, and the $51.25 is the board’s published fee for the FBI criminal background check, from its fee sheet. On the IMLC route, the $700 and the $300 are paid through the IMLCC, which calls all fees non-refundable; adding Kentucky to a Letter of Qualification still within its 365 days costs a $100 handling fee plus the $300.

Left out of every total: the written endorsement from your original licensing state, at that board’s own fee; any charge for taking your fingerprints, which the board does not publish; notary fees for the board’s forms; for DOs, NBOME’s $65 COMLEX-USA transcript, if the FCVS invoice includes it, which FSMB does not make clear; for international graduates, ECFMG’s one-time $75 medical education verification and its $70 certification status report for each board; a clinical competency exam or skills assessment, at your own expense, only if a board panel orders one after two or more years out of practice; and, for prescribers, the $888 DEA registration for three years, since Kentucky has no state controlled substance registration and KASPER charges no fee. On the IMLC route, your state of principal license runs the background check, at its own fee.

Fees change; verified November 11, 2026.

How long it takes.

  • Approximately 60 to 90 daysThe application process, board FAQ estimateThe board’s FAQ puts the application process at approximately 60 to 90 days for all licenses it offers, including the temporary permit, without saying when the count starts; it is an undated estimate, in the FAQ since at least 2013, not an average.Board-published
  • 24 to 48 hoursTemporary permit, from eligibilityThe board’s FAQ says temporary permits are typically issued within 24 to 48 hours of eligibility, which takes an application complete except for the criminal background check; a permit lasts up to six months and cannot be renewed.Board-published
  • QuarterlyFull board approval of a regular licenseThe full board meets in March, June, September, and December, and every regular license needs its approval; a file goes to a meeting only if it is complete, except for the background check, by the board’s published deadline before it, and the board may approve a file pending that check.Board-published
  • 38 daysIMLC application to Letter of QualificationIMLCC’s Year 9 average across the compact, April 2025 to March 2026; 55% received the letter in 30 days or less.IMLCC average
  • 22 daysIMLC qualification to licenses issuedIMLCC’s Year 9 average for the next stage, from qualification to the requested state licenses; 47% received them in 7 days or less. The two stages are separate averages, not a total.IMLCC average

Kentucky law sets no deadline for the board to decide a general application, and the board does not expedite one application over another: it processes them in the order received. Kentucky law does set 30-day deadlines for some military applicants: a license within 30 days of a completed application for service members, reservists, National Guard members, and veterans, and their spouses, who hold or recently held an equivalent license in another state, with exceptions such as a license not in good standing; and a license within 30 days, with no fees, for the spouse of a service member stationed in Kentucky who meets the licensing requirements. No board guarantees a date.

What the file involves.

A Kentucky file by endorsement moves between at least 8 parties for an MD and 9 for a DO, whose COMLEX-USA scores come from NBOME, and at least 6 core document types: the online application with the $300 fee, the board’s application forms, signed before a notary as its rule requires, your FCVS profile, your NPDB self-query, fingerprints for the state and FBI checks, and the written endorsement from your original licensing state. Each extra training program adds a party, and international graduates add ECFMG. The board does not publish its full list of forms, which comes with the application, so these counts are a floor. On the IMLC route, Kentucky’s part involves 3 parties: the IMLCC, your state of principal license, and the board.

  • FSMB, through FCVSAssembles your FCVS profile from verified school, training, and exam records, USMLE transcripts included, with its Physician Data Center profile of your licensure history and an NPDB report it pulls as the board’s agent.
  • Your medical schoolVerifies your medical education, through FCVS.
  • Each postgraduate training programVerifies your training, through FCVS.
  • The National Practitioner Data BankReports on you through the FCVS profile and through the self-query response the board’s FAQ asks of every applicant for a full license.
  • The board of your original licensing stateEndorses you in writing as licensed in good standing there.
  • The Kentucky State PoliceRuns the state fingerprint-supported criminal record check.
  • The FBIRuns the national fingerprint-supported criminal record check.
  • The Kentucky Board of Medical LicensureReviews the file; its executive director can issue a temporary permit, and the full board approves every regular license at a quarterly meeting.
  • NBOME, for DOsSends your COMLEX-USA scores.
Postgraduate training
Two years of accredited postgraduate training for every regular license, in ACGME or AOA programs or any program in Canada; the board may count fellowship training toward the second year case by case. International graduates need the same two years, plus permanent ECFMG certification or certification by an approved US specialty board, and a medical school the board approves.
Exams
A passing score of 75 on each step, part, or component of USMLE, COMLEX-USA, or an older exam the board accepts, such as NBME, NBOME, or FLEX, within 4 attempts for each; the board’s rule sets no time limit. The IMLC is stricter, at 3 attempts.
Time out of practice
Two years or more without active practice lets a board panel order a clinical competency exam or skills assessment program, at your expense, and the board’s application page flags that gap for applicants.
Board certification
Not required for a Kentucky regular license. The IMLC requires it.

We run the Kentucky file.

We do

  • Check your IMLC eligibility and weigh it against endorsement before any fee is paid, since the board refunds no licensure fee.
  • Start or update your FCVS profile and chase every school, training, and exam verification until the profile reaches the board.
  • Prepare the Kentucky application and check every answer against the board’s current rules before it goes in.
  • Request the written endorsement from your original licensing state and track the NPDB, state police, and FBI results until they reach the board.
  • Aim the complete file at the board’s deadline before its next quarterly meeting, and line up a temporary permit if you need to start sooner.
  • Answer every board request and follow the file until the license issues.

You do

  • Share your credentials and license history once, in our secure portal.
  • Approve your application answers and sign the board’s forms before a notary.
  • Order your NPDB self-query when we ask.
  • Have new fingerprints taken for the state and FBI checks.
  • Appear before the executive director or the board if asked.

Get My Licensing Plan

Staying licensed.

Renewal cycle
Every year: the board mails reminders in late December, and renewal is due by March 1, at $150. Renewals paid between March 1 and April 1 add a $50 penalty, and a license not renewed by April 1 automatically becomes inactive, so practicing on it counts as unauthorized practice. A license issued through the compact renews through the IMLCC.
CME
60 hours every three-year cycle, with 30 of them certified in Category I by an organization the ACCME or the AOA accredits, unless you meet the rule another way, such as an AMA or AOA recognition award in effect or postgraduate training, counted at 50 hours a year; the current cycle ends December 31, 2026. A physician first licensed in a cycle’s first year owes 60 hours by its end, in the second year 40, and in the third 20, so a license issued in 2026 owes 20 hours by December 31, 2026. Controlled substance prescribers complete at least 4.5 board-approved hours on KASPER, pain management, or addiction disorders each cycle, and buprenorphine prescribers 12 Category I hours in addiction medicine as part of the 60. One-time courses apply by practice: 1 hour on pediatric abusive head trauma within five years of licensure for pediatricians, radiologists, family practitioners, and emergency or urgent care physicians, and a 3-hour domestic violence and elder abuse course within three years of first licensure for primary care physicians and psychiatrists. The board audits at random and grants no waivers.
State controlled-substance registration
None. Kentucky issues no state controlled substance registration: prescribing controlled substances takes an active Kentucky license, a DEA registration for Kentucky, and an active KASPER account.
Prescription monitoring
Register with KASPER, the Kentucky All Schedule Prescription Electronic Reporting system run by the Cabinet for Health and Family Services, and keep the account active throughout your licensure; registration is free, and the board can restrict your prescribing by emergency order after a seven-day notice if you lack one. Before first prescribing a controlled substance, for pain or any other condition, review the patient’s KASPER report for the prior 12 months, and repeat it at least every three months during long-term treatment, with exceptions in the board’s rule.
DEA registration
$888 for three years, with a separate registration for Kentucky.
E-prescribing
Required for controlled substance prescriptions since January 1, 2021, which go electronically from prescriber to pharmacy, with exceptions such as technology failures, prescriptions to be filled by a pharmacy outside Kentucky, waivers of up to one year, hospice and nursing facility patients, and, since July 15, 2026, charitable care.
Acute pain prescriptions
A Schedule II prescription for acute pain is limited to a 3-day supply under Kentucky law, with documented exceptions.
Reporting duties
Report your office addresses to the board within 90 days of starting practice in Kentucky and any change immediately, and report any conviction or plea, and any discipline in another state, within 10 days.

Frequently asked questions

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Sources

Kentucky Board of Medical Licensure, physician frequently asked questions

Kentucky Board of Medical Licensure, apply for a license

Kentucky Board of Medical Licensure, types of licenses

Kentucky Board of Medical Licensure, requirements for medical and osteopathic licensure

Kentucky Board of Medical Licensure, board fees

Kentucky Board of Medical Licensure, application deadlines and board meeting dates

Kentucky Board of Medical Licensure, Interstate Medical Licensure Compact

Kentucky Board of Medical Licensure, physician licensure and renewal

Kentucky Board of Medical Licensure, Winter 2026 newsletter

Kentucky Board of Medical Licensure, 2026 annual report

Kentucky Board of Medical Licensure, CME schedule for 2024 to 2026

Kentucky Board of Medical Licensure, prescribing and substance abuse

Kentucky Board of Medical Licensure, opinion on telemedicine

Kentucky Revised Statutes 311.530, Board of Medical Licensure

Kentucky Revised Statutes 311.550, definitions

Kentucky Revised Statutes 311.560, license required and exemptions

Kentucky Revised Statutes 311.565, board powers and background checks

Kentucky Revised Statutes 311.571, licensure requirements

Kentucky Revised Statutes 311.575, temporary permits

Kentucky Revised Statutes 311.586, office addresses

Kentucky Revised Statutes 311.601, continuing medical education

Kentucky Revised Statutes 311.604, time out of practice

Kentucky Revised Statutes 311.6208, Interstate Medical Licensure Compact

Kentucky Legislature, 2019 Senate Bill 22, Interstate Medical Licensure Compact

Kentucky Revised Statutes 12.245, licenses for service members, veterans, and spouses

Kentucky Revised Statutes 12.357, licenses for spouses of service members

Kentucky Revised Statutes 194A.540, domestic violence and elder abuse training

Kentucky Revised Statutes 218A.182, electronic prescribing

Kentucky Revised Statutes 218A.202, KASPER

Kentucky Revised Statutes 218A.205, licensing board prescribing standards

Kentucky Administrative Regulations 201 KAR 9:021, medical schools and postgraduate training

Kentucky Administrative Regulations 201 KAR 9:023, licensure by endorsement

Kentucky Administrative Regulations 201 KAR 9:024, application forms and appearances

Kentucky Administrative Regulations 201 KAR 9:031, examinations

Kentucky Administrative Regulations 201 KAR 9:041, fee schedule

Kentucky Administrative Regulations 201 KAR 9:051, annual renewal

Kentucky Administrative Regulations 201 KAR 9:071, temporary and emergency permits

Kentucky Administrative Regulations 201 KAR 9:081, reporting duties

Kentucky Administrative Regulations 201 KAR 9:200, National Practitioner Data Bank reports

Kentucky Administrative Regulations 201 KAR 9:210, criminal background checks

Kentucky Administrative Regulations 201 KAR 9:230, KASPER registration

Kentucky Administrative Regulations 201 KAR 9:260, prescribing standards for controlled substances

Kentucky Administrative Regulations 201 KAR 9:270, prescribing buprenorphine

Kentucky Administrative Regulations 201 KAR 9:310, continuing medical education

Interstate Medical Licensure Compact Commission, what it costs

Interstate Medical Licensure Compact Commission, participating states

Interstate Medical Licensure Compact Commission, information for physicians

Interstate Medical Licensure Compact Commission, FAQs

Interstate Medical Licensure Compact Commission, Year 9 data study

FSMB, FCVS participating boards for physicians

FSMB, FCVS cost and fees

FSMB, FCVS FAQ

FSMB, FCVS credentials verification process

FSMB, Uniform Application participating boards

FSMB, transcripts FAQ

National Practitioner Data Bank, self-query basics

National Practitioner Data Bank, billing and fees

NBOME, frequently asked questions and transcript fee

ECFMG, fees

DEA, practitioner registration fee, 21 CFR 1301.13

DEA, state license requirements for practitioners

DEA, registration questions and answers

. Reviewed by the NP Licensing licensing team. Report a correction

This guide is informational only, not legal advice. Fees and timelines change; the verified date and sources are on this page.