Mailing Address, Email Address, and Name Changes

Update the KBN record regarding mailing address, email address, or name change


Update mailing address and email address using the online form for the following license types: 

SANE credential with Kentucky RN license

Update mailing address and email address using the online form for the following license types:

Update mailing address and email address using the online form for the following license types:

Update mailing address and email address using the online form for the following license type:

Please note the following:

  • There is not currently an online option available to update the mailing address or email address for LCPMs.
  • The above forms will say address change on the first screen but you will be able to use them to update both your mailing address and email address.
  • When you update your mailing address or email address online through one of the above forms the information in the KBN database will be updated immediately.
  • You must declare your primary state of residence if you are a nurse.
  • Do not use special characters, such as commas, periods, hyphens, slash marks, etc.



Change the address and/or email that is on file with the KBN by completing one of the forms:​




Change the name that is on file with the KBN by completing one of the forms:

Please mail the completed name change form, along with:

  • A check or money order in the amount of $25​ (NON-REFUNDABLE)
    • During the renewal period, a name change can be submitted before or after a license is renewed, but the fee of $25.00 is still required.
  • ​​A photocopy of one of the required legal name change documents:
    • New social security card
    • Marriage certificate
    • Petition for Name Change Court Order
    • Divorce decree WITH the legal name change statement

    Please DO NOT mail us your original legal document. We only require a photocopy. Our mailing address is located on the top left of the name change request form.

    • Note: IF you are in a current application for Examination, Reinstatement or Endorsement​, and have not been issued a KY license at the time you are requesting a name change, you do not have to pay the $25 fee. You would need to complete the name change request form and fax it with the required legal document to 502-429-3336 Attn: Name Change for Current Application​ or mail it to the KBN at the address listed on the form.
    • ​If you submit the name change form with the fee and legal document(s) and you are in an application process, you will not be issued a refund.​