Individual
MANDISSA ALICIA SEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
732 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 846-2025
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7723
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51138
KY
208M00000X
Hospitalist Physician
51138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100579310
—
KY
Enumeration date
12/27/2014
Last updated
01/09/2026
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