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Mailing Address, Email Address, and Name Changes

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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.

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


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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.​
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