Licensure, Registration, and Renewal Requirements
This domain tests how a Kentucky nursing license is obtained, renewed, reinstated, and maintained, including multistate compact privileges and continuing education. The Board issues licenses under KRS Chapter 314 and 201 KAR Chapter 20; practicing without a current license is prohibited.
Licensure pathways
- Initial licensure by examination is governed by KRS 314.041 and 201 KAR 20:030: approved education, NCLEX, application, fee, and criminal background check.
- Licensure by endorsement is governed by 201 KAR 20:035 for nurses licensed in another state.
- Kentucky is a Nurse Licensure Compact state. A multistate RN or LPN license is valid in other compact states when Kentucky is the nurse's primary state of residence. Moving to Kentucky changes the primary residence and requires a Kentucky multistate license before compact practice continues.
Renewal and maintenance
- Kentucky RN and LPN licenses expire annually on October 31 and are renewed under 201 KAR 20:050.
- Continuing education is required under 201 KAR 20:056: 14 contact hours per renewal year, including the domestic-violence component required by regulation. APRNs must also meet national certification and additional pharmacology continuing education requirements.
- A licensee must report name and address changes and certain criminal convictions to the Board. Practice on an expired license is prohibited; late renewal or reinstatement may require fees and additional continuing education.
Worked example. An LPN moves from a noncompact state to Kentucky and begins working before applying by endorsement. Even with an active out-of-state license, she lacks Kentucky authority to practice. She must apply under 201 KAR 20:035 and wait for issuance. If she had moved from a compact state, she would still need a Kentucky multistate license because her primary residence changed.
Traps. Assuming a multistate license remains valid after establishing Kentucky residence; assuming continuing education from another state automatically satisfies Kentucky requirements; practicing while an application is pending; missing the October 31 expiration date.