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Kentucky Board of Medical Licensure fax number
(502) 429-7158
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Medical Licensure (State Board of Medical Licensure)
Used for: Submitting medical licensure applications, license verifications, disciplinary actions, and grievances; the board accepts grievance complaints via fax.
Fax destination details
- Department
- Medical Licensure (State Board of Medical Licensure)
- Purpose
- Submitting medical licensure applications, license verifications, disciplinary actions, and grievances; the board accepts grievance complaints via fax.
- Form
- Grievance/Complaint submission form — Consumer Guide and Grievance Form
- Address
- 310 Whittington Parkway, Suite 1B, Louisville, KY 40222
- Voice phone
- 502-429-7150
- Website
- Visit organization website
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- Confirm that this exact department handles your document or request.
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Use the form to file a consumer grievance or submit supporting documents related to medical licensure; provide all required information as directed in the guide.
Official form instructions are published as a downloadable file on the organization's website.
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