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Address/Name Change Contact Form

Use this form to request information about an address or name change.

NOTE: Contact pages are unsecured web pages intended for the transmission of general queries and information. If your question requires the transmission of sensitive data, such as social security number or date of birth, please call 1-800-305-2042 or 502-429-3300 to be connected with a staff member directly. This notice does not cover license numbers, which are already in the public domain, or KBN applications, which use the highest level of security commercially available.


Mailing Address
 
 
 
 
 
 
 
 
Are you licensed as a nurse in Kentucky?

 

Last Updated 11/26/2013
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