Physician Assistant

If you have questions pertaining to information on this page, contact Teresa Kleinhenz (502) 429-7932 or by email

Application For Licensure 

To apply for Physician Assistant Licensure, review all of the following items prior to clicking on the Application link below. This application works best with Internet Explorer, Firefox and Google Chrome.  There are compatibility issues with Apple products and the Safari browser.
To determine eligibility for Physician Assistant Licensure review these requirements.  You are required to have a Kentucky supervising physician and alternate supervising physician to practice in Kentucky.
  1. Once you click on the application link, you will be required to create a login profile by choosing "Don't have a login, click here." on the left side of page.
  2. Enter your name exactly as it appears on your social security card.  The Department for Medicaid Services requires your name appear in our database exactly as it does on your social security card.
  3. After you have created a login profile, you have initialized your application process which consists of demographic information only.
  4. Upon completion of the login profile, you will be prompted to "Click Here To Apply For License."
  5. After completing the online application, you will be prompted for a $100.00 non-refundable application fee. Payment may be made by credit card or ACH debit.  
  6. Once the payment is complete, close the receipt page and your Account/Profile page will open.  Download/print the PA Application Addendums.  These addendums are required for licensure.  NOTE:  You have one (1) year from the date you pay your application fee to complete the licensure process.
  7. Click Here to Begin Application Process  *

*The above link is for new applicants only. If you have an inactive license, contact the Board at the number above. Please do not create a new account and pay the application fee. This fee is non-refundable.


Supervising Physician Application 

If you are a physician assistant currently licensed in the state and are changing jobs, your new supervising physician must complete an application for supervision.  Board approval must be granted prior to practicing under a new supervising physician.  If at any time a supervising physician ceases to employ or supervise you, you must notify the Board, in writing, within three (3) business days.
*(The Supervising Physician Application contains fillable fields however, original signatures are required. Please print the application and mail to the Board.)

State Committee Members 

Timothy K. Thurston, PA-C, Boaz, Chairman
Tamella B. Cassis, M.D., Louisville
Matthew Fain, M.D., Lexington
Tammy R. Jewell, PA-C, Dayton
Timothy Loerke, PA-C, Louisville
Stephanie Morgan-White, Esq., Prospect
Marty W. Mullins, PA-C, Hazard
Patrick D. Pepper, PA-C, Lexington
Van Young, M.D., Crestview Hills

Statutes and Regulations 

Kentucky Revised Statutes - Chapter 311

‚ÄčKRS 311.840 Definitions for KRS 311.840 to 311.862
KRS 311.842 Administrative regulations - Physicians Assistant Advisory Committee - Physician assistant students
KRS 311.844 Licensing of physician assistants - Requirements - Endorsement from other states - Renewal of license
KRS 311.845 Temporary licensing of physician assistants - Cancellation
KRS 311.846 Examination - Educational and training programs
KRS 311.848 Medical emergency - Approval of additional physician assistants - Emergency permit
KRS 311.850 Discipline of physician assistants
KRS 111.852 Emergency order issued by inquiry panel suspending, limiting, or restricting license
KRS 311.854 Approval of supervising physician - Requirements - Application - Number of assistants - Restriction on practice and supervision
KRS 311.856 Duties of supervising physician
KRS 311.858 Services and procedures that may be performed by physician assistant. Restrictions
KRS 311.860 Services performed in location separate from supervising physician - Nonseparate from supervising physician - Nonseparate location - Definition and exceptions
KRS 311.862 Practice as anesthesiology assistant

Kentucky Administrative Regulations - KARs

201 KAR 9:084. Fee schedule regarding physician assistants

Meeting and Deadline Dates

Fee Schedule

Definitions of Levels of Supervision

Duplicate Forms
If at any time you need additional and/or duplicate application forms, you will need to log into your profile and access the instructions/forms. This is the only way to obtain these forms.

Email Address
Board communications are predominantly sent via email.  Please ensure that emails from do not go to your Junk/Spam folder.  To update your email information at any time, go to the following page and follow the instructions.