Individual
JONATHAN CASEY BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 LONE OAK RD, EMERGENCY DEPARTMENT, PADUCAH, KY 42003-7901
(270) 444-2150
(270) 444-2985
Mailing address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44380
KY
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
44380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100165380
—
KY
Enumeration date
11/04/2008
Last updated
12/11/2025
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