Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Kentucky Board of Medical Licensure before sending sensitive documents. FaxFlow is not affiliated with this organization.
Kentucky Board of Medical Licensure fax number
(502) 429-7158
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
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
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.
Sources and verification
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