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Contact Information

JONATHAN C BRANTLEY, MD
1530 LONE OAK RD
EMERGENCY DEPARTMENT
PADUCAH, KY42003-7901
 Phone: 270-444-2150
 Fax: 270-444-2985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for JONATHAN C BRANTLEY · (Male)

NPI Number 1750535795
Status Active
Credentials MD
Entity Individual
Enumeration date 11/04/2008
Last updated 12/11/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 44380
  • KY Medicaid 7100165380
Hospital affiliation(s)
  • LOURDES HOSPITAL - (Acute Care)
    1530 LONE OAK ROAD
    PADUCAH, KY 42003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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